CAJ | 학술논문

目的：探讨布地奈德混悬液联合复方异丙托溴铵雾化吸入治疗小儿哮喘的疗效及护理。方法选取70例哮喘发作患儿为研究对象，随机分为观察组和对照组各35例。2组患儿均采取常规吸氧、抗感染、抗病毒、解痉平喘、止咳化痰以及纠正体液平衡等对症治疗。观察组在常规治疗基础上给予布地奈德混悬液联合复方异丙托溴铵雾化吸入，并针对雾化吸入治疗采取整体护理措施；对照组在常规治疗基础上单纯给予复方异丙托溴铵雾化吸入，采取常规护理措施，2组均治疗1个疗程（5 d）后评价临床疗效。结果治疗后2组患儿临床症状均有所改善，观察组患儿咳嗽及咳痰、呼吸困难、肺部哮鸣音及湿罗音消失时间均显著短于对照组（P ＜0．05），且观察组临床总有效率显著高于对照组（P ＜0．01）。治疗结束后，观察组护理工作满意率显著高于对照组，差异有统计学意义（P ＜0．05）。结论布地奈德混悬液联合复方异丙托溴铵雾化吸入治疗小儿哮喘疗效显著，药物安全性较好，充分做好雾化吸入治疗的各项护理措施，是提高临床疗效、减少药物副作用的有效措施。
목적：탐토포지내덕혼현액연합복방이병탁추안무화흡입치료소인효천적료효급호리。방법선취70례효천발작환인위연구대상，수궤분위관찰조화대조조각35례。2조환인균채취상규흡양、항감염、항병독、해경평천、지해화담이급규정체액평형등대증치료。관찰조재상규치료기출상급여포지내덕혼현액연합복방이병탁추안무화흡입，병침대무화흡입치료채취정체호리조시；대조조재상규치료기출상단순급여복방이병탁추안무화흡입，채취상규호리조시，2조균치료1개료정（5 d）후평개림상료효。결과치료후2조환인림상증상균유소개선，관찰조환인해수급해담、호흡곤난、폐부효명음급습라음소실시간균현저단우대조조（P ＜0．05），차관찰조림상총유효솔현저고우대조조（P ＜0．01）。치료결속후，관찰조호리공작만의솔현저고우대조조，차이유통계학의의（P ＜0．05）。결론포지내덕혼현액연합복방이병탁추안무화흡입치료소인효천료효현저，약물안전성교호，충분주호무화흡입치료적각항호리조시，시제고림상료효、감소약물부작용적유효조시。
ABSTRACT:Objective To investigate the efficacy and nursing of aerosol inhalation therapy of budesonide suspension combined with compound ipratropium bromide in the treatment of chil-dren with asthma.Methods A total of 70 children with asthma were randomly divided into obser-vation group and control group,35 cases in each group.The children in both groups were conduct-ed with conventional oxygen uptake,anti-infective and antiviral,spasmolysis,and elimination of phlegm and correction of fluid balance.The observation group was treated with aerosol inhalation therapy of budesonide suspension combined with compound ipratropium bromide on the basis of conventional treatment and the holistic nursing for aerosol inhalation therapy.The control group was treated with aerosol inhalation therapy of compound ipratropium bromide on the basis of con-ventional treatment and the conventional nursing.The clinical efficacy was compared after a course of treatment (5 days)between two groups.Results After treatment,the symptoms of children in both groups improved significantly,and the extinction time of cough and sputum,difficulty breathing,lung wheezing sound and moist crackles of observation group were significant shorter than those of the control group (P <0.05).The clinical total effective rate of observation group was significantly higher than that of the control group (P <0.01).The satisfactory degree toward nursing in the observation group was significantly higher than that in the control group (P <0.05).Conclusion Aerosol inhalation therapy of budesonide suspension combined with compoundipratropium bromide is effective in the treatment of children with asthma ,and it has a better safety in drug administration.Fully prepared nursing interventions for aerosol inhalation therapy are effective measures in improving clinical efficacy and reducing side effects.