无创吸痰联合雾化吸入治疗毛细支气管炎患儿的价值

The Value of Non-invasive Sputum Suction Combined with Atomization Inhalation in the Treatment of Children with Bronchiolitis

目的:研究无创吸痰联合雾化吸入治疗毛细支气管炎患儿的临床价值。方法:选取洛阳市妇幼保健院2019年9月至2020年6月期间收治的146例毛细支气管炎患儿,根据随机数字表法分为观察组和对照组,各73例。对照组患儿采用雾化吸入治疗,观察组患儿在这个前提上增加无创吸痰治疗,共治疗2周。比较两组患儿疗效,检测治疗前后患儿呼吸功能的变化,观察其症状改善情况。结果:观察组患儿咳嗽缓解时间、退热时间、喘憋消失时间、呼吸急促改善时间、肺部啰音消失时间、每日吸痰次数、住院时间均短于对照组,差异具有统计学意义(P<0.05)。干预后30 min观察组患儿的呼气流量峰值(PEF)高于对照组,差异具有统计学意义(P<0.05)。治疗后两组患儿的血氧饱和度、呼吸频率高于对照组,心率低于对照组,差异具有统计学意义(P<0.05)。观察组患儿治疗总有效率为93.16%,高于对照组的75.34%,差异具有统计学意义(P<0.05)。结论:无创吸痰联合雾化吸入治疗小儿毛细支气管炎的效果更优于单一治疗方法,可改善气道阻塞,缓解喘憋症状,减少住院时间,且操作简单、安全。

〕Objective To study the clinical value of non-invasive sputum suction combined with atomization inhalation in the treatment of children with bronchiolitis.Methods A total of 146 children with bronchiolitis admitted to Luoyang Maternal and Child Health Hospital from September 2019 to June 2020 were selected and divided into an observation group and a control group according to random number table method,with 73 cases in each group.The control group was treated with atomization inhalation,and the observation group was treated with non-invasive sputum suction for 2 weeks.The curative effect of the two groups was compared,the changes of respiratory function of the children before and after treatment were detected,and the improvement of symptoms was observed.Results Cough relief time,fever relief time,gasp disappearance time,tachypnea improvement time,pulmonary rales disappearance time,daily sputum aspiration times,hospital stay time in the observation group were shorter than those of the control group,the differences were statistically significant(P<0.05).The peak expiratory flow(PEF)of the observation group was higher than that of the control group 30 min after intervention,and the difference was statistically significant(P<0.05).After treatment,blood oxygen saturation and respiration rate of the two groups were higher than those of the control group,while heart rate was lower than that of the control group,with statistical significances(P<0.05).The total effective rate of the observation group was 93.16%,higher than 75.34%of the control group,the difference was statistically significant(P<0.05).Conclusion Non-invasive sputum suction combined with aerosol inhalation in the treatment of bronchiolitis in children is better than the single treatment method.It can improve airway obstruction,relieve symptoms of wheezing,and reduce hospital stay,and the operation is simple and safe.