CAJ | 학술논문

目的：探讨儿童重症感染性肺炎三种呼吸道干预管理措施的临床疗效。方法回顾性分析我院2011年1月至2013年12月收治的重症感染性肺炎患儿，其中2011年50例，单纯给予抗生素治疗，列为A组；2012年50例，给予抗生素及雾化吸入治疗，列为B组；2013年50例，给予抗生素、雾化吸入及排痰震荡仪治疗，列为C组，比较两组患儿治疗7d有效率、实验室指标改善情况及住院相关指标。结果 A、B、C三组患儿治疗7 d有效率分别为68％、78％、92％，组间比较治疗有效率差异有统计学意义（χ2＝9．114，P＜0．05）；三组患儿治疗后WBC计数、CRP水平均较治疗前下降，比较差异有统计学意义（P＜0．05），其中C组改善最优，B组其次，A组最差，组间比较差异有统计学意义（P＜0．05）；C组患儿治疗后体温恢复时间、咳嗽消失时间、啰音消失时间、呼吸困难缓解时间、吸氧时间、住院时间最短，B组次之，A组最长，组间比较差异有统计学意义（P＜0．05）。结论排痰震荡仪配合抗生素、雾化吸入治疗儿童重症感染性肺炎效果突出，值得临床推广应用。
목적：탐토인동중증감염성폐염삼충호흡도간예관리조시적림상료효。방법회고성분석아원2011년1월지2013년12월수치적중증감염성폐염환인，기중2011년50례，단순급여항생소치료，렬위A조；2012년50례，급여항생소급무화흡입치료，렬위B조；2013년50례，급여항생소、무화흡입급배담진탕의치료，렬위C조，비교량조환인치료7d유효솔、실험실지표개선정황급주원상관지표。결과 A、B、C삼조환인치료7 d유효솔분별위68％、78％、92％，조간비교치료유효솔차이유통계학의의（χ2＝9．114，P＜0．05）；삼조환인치료후WBC계수、CRP수평균교치료전하강，비교차이유통계학의의（P＜0．05），기중C조개선최우，B조기차，A조최차，조간비교차이유통계학의의（P＜0．05）；C조환인치료후체온회복시간、해수소실시간、라음소실시간、호흡곤난완해시간、흡양시간、주원시간최단，B조차지，A조최장，조간비교차이유통계학의의（P＜0．05）。결론배담진탕의배합항생소、무화흡입치료인동중증감염성폐염효과돌출，치득림상추엄응용。
Objective To investigate the clinical efficacy of three kinds of respiratory intervention management measures in children intensive pneumonia .Methods Severe neonatal pneumonia were retrospective analysis from our hospital during the period from January 2011 to December 2013, among them 50 cases in 2011, they were given antibiotics along , classified as Group A; 50 cases in 2012, they were given antibiotics and inhalation ,classified as Group B; 50 cases in 2013 were given antibiotics , inhalation and shock instrument expectoration for treatment , classified as group C;7d treatment efficiency , improvement of laboratory parameters and hospitalization related indicators of two groups were compared .Results 7d treatment efficiency of three groups were 68%, 78%, 92%, efficiency of treatment between the two groups was statistically significant (χ2 =9.114,P<0.05);WBC count, CRP level after treatment of three groups were all decline than before treatment , the difference was statistically significant (P<0.05), Group C was the best improvement , Group B was Second, A group was the worst, the difference between the two groups was statistically significant ( P <0.05 );Temperature recovery time , time to cough disappeared , rales disappeared time , time to ease breathing difficulties , oxygen time , length of hospital stay after treatment of Group C were shortest , Group B followed by , A group longest, the difference between the two groups was statistically significant (P <0.05).Conclusions Expectoration concussion instrument with antibiotics , inhalation in treatment of children intensive pneumonia had outstanding results , it is worth promoting in clinical .