家庭雾化在毛细支气管炎患儿出院后的临床价值探讨

Exploration of the Clinic Effect of Home Nebulization on Children with Bronchiolitis after Discharge from Hospital

目的本研究探讨家庭雾化在毛细支气管炎患儿出院后的临床效果。方法选择2016年6月-2017年6月我科住院诊断为毛细支气管炎且出院后仍有咳嗽或喘息的患儿100例,其中选择患儿及家长愿意配合家庭雾化的50例作为治疗组;另外选取患儿不愿意雾化治疗的50例作为对照组。两组患儿都采取综合治疗措施,治疗组患儿出院后给予家庭雾化治疗,对照组给予对症治疗,半年后对两组患儿的治疗效果进行比较并分析结果。结果治疗组患儿喘息缓解时间为(6. 7±1. 1)天,对照组为(11. 6±2. 7)天;治疗组患儿半年内喘息复发次数为(0. 84±0. 22)次,对照组为(2. 6±0. 94)天;对照组的肺功能改善、喘息时间次数明显差于治疗组,两组患儿差异均有统计学意义(P <0. 05)。结论家庭雾化能明显改善毛细支气管炎患儿出院后的临床症状,降低喘息复发率,方法简单、易行,无任何不良反应,值得临床推广。

Objective To investigate the clinical effect of home nebulization on children with bronchiolitis after their discharge from hospital. Methods A total of 100 subjects were selected among children who were hospitalized for bronchiolitis in our department from June 2016 to June 2017 and continued to have the symptoms of coughing or wheezing after discharge from hospital. Among them,50 children whose parents were willing to receive home nebulization formed a treatment group,while the rest 50 children who would not receive home nebulization formed a control group. Both groups had received comprehensive treatment,but the treatment group was given further nebulization after discharge,while the control group was given symptomatic treatment. After six months,the treatment effects of the two groups of children were compared and the Results were analyzed. Results The time needed for wheezing relief was( 6. 7 ± 1. 1) days for the treatment group but( 11. 6 ± 2. 7) days for the control group;the wheezing recurrence rate of the treatment group during the six months was( 0. 84 ± 0. 22) and that of the control group was( 2. 6 ± 0. 94);by comparison,the wheezing relief time of the control group was much longer than that of the treatment group and the reoccurrence rate much higher,and the lung function improvement of the control group was significantly worse. There was a statistically significant difference between the two groups( P < 0. 05). Conclusion Home nebulization can significantly alleviate the clinical symptoms of bronchiolitis and reduce the recurrence rate of wheezing after patients’ discharge from the hospital. As a simple yet practical method without any adverse reactions,it is worthy of broader clinical promotion and application.