盐酸氨溴索和盐酸丙卡特罗联合心理治疗对肺炎患儿的效果

Effect of ambroxol hydrochloride combined with procaterol hydrochloride combined with psychotherapy on psychological state and treatment compliance of children with pneumonia

目的 探究小儿肺炎临床治疗中盐酸氨溴索和盐酸丙卡特罗联合心理治疗的临床疗效及对患儿不良心理状态的改善效果。方法 遴选2020年8月~2021年4月我院收治的小儿肺炎患儿86例,以随机数字表法分2组,盐酸氨溴索联合盐酸丙卡特罗治疗组43例(对照组),盐酸氨溴索联合盐酸丙卡特罗配合心理治疗43例(观察组)。对比两组患者的下列指标:临床总疗效、患儿疾病恢复情况、儿童焦虑性情绪障碍筛选量表(SCARED)、儿童抑郁障碍自评量表(DSRSC)、心理健康评定量表(Mental Health Rate Scale for Pupil,MHRSP)。结果 观察组治疗总有效率93.02%高于对照组76.74%,同时观察组咳嗽、喘息、发热、肺啰音等症状体征消失时间及住院时间明显更短,差异有统计学意义(P<0.05);两组治疗后较同组治疗前SCARED评分、DSRSC评分均显著下降,且观察组较对照组明显低(P<0.05),两组患儿治疗前MHRSP评分比较,均无统计学差异(P>0.05),观察组治疗后MHRSP评分显著低于对照组(P<0.05)。观察组患儿治疗依从率较对照组显著高(P<0.05)。结论 肺炎患儿在应用盐酸氨溴索与盐酸丙卡特罗治疗过程中,配合心理治疗,可强化临床疗效,加强病情控制及促进症状改善,加快患儿康复速率,同时有效减轻患儿心理状态,改善焦虑、抑郁等负面情绪,增强治疗依从性,实现提高预后的价值。

Objective To explore the clinical efficacy of ambroxol hydrochloride and procaterol hydrochloride combined with in psychotherapy in children’s pneumonia and their effect on children’s psychological state. Methods86 children with pneumonia from August 2020 to April 2021 were selected and divided into two groups according to the principle of random number table 43 cases in control group were treated by ambroxol hydrochloride and rocaterol hydrochloride,while 43 cases in observation group treated by ambroxol hydrochloride and procaterol hydrochloride combined with psychotherapy. The indexes below were compared between two groups,including :total clinical efficacy,children’s disease recovery,children’s anxiety disorder screening scale(SCARED),children’s self rating Depression Scale(dsrsc),mental health assessment scale(mental health rate scale for pupil,MHRSP). Results The total effective rate of the observation group was 93.02%,which was higher than 76.74% of the control group. At the same time,the disappearance time of symptoms and signs such as cough,wheezing,fever and pulmonary rales and the length of hospital stay in the observation group were significantly shorter,the difference was statistically significant(P<0.05). The scaled score and dsrsc score of the two groups after treatment were significantly lower than those of the same group before treatment,and the MHRSP score of the observation group was significantly lower than that of the control group(P<0.05). There was no significant difference between the two groups before treatment(P> 0.05). The MHRSP score of the observation group after treatment was significantly lower than that of the control group(P<0.05).The treatment compliance rate of children in the observation group was significantly higher than that of the control group(P<0.05). Conclusion The ambroxol hydrochloride and procaterol hydrochloride combined with psychotherapy can strengthen the clinical curative effect,improve the symptoms and the psychological state,accelerate the recovery rate in children patients with pneumonia.