80例小儿支原体肺炎的临床护理体会。11教案分析.doc

Title: Experience of?clinical nursing care of 80 cases?of mycoplasma pneumonia in children Speciality:Nursing Applicant:Xue Yuwen Supervisor: 写你的指导老师 ABSTRACT Objective:Clinical nursing countermeasures for further?inquiry?of mycoplasma pneumonia in children Method:A detailed?study collected?in 2012?September?-2013 year in September?in our hospital?80?cases of?clinical data of patients with?mycoplasma pneumonia in children,?the?children were randomly divided into two groups,?40?cases in the control group?received?routine?nursing?method,?comprehensive,?high quality?of clinical nursing?of 40 cases of?study group?were treated Results: The study group patients?the treatment efficiency?(97.5%)?was significantly higher than that of?the control group?(72.5%),?P 0.05,?the difference has statistical significance.?Study on the?clinical signs?in patients with?remission time?group?was significantly lower than control group,?P 0.05,?the difference has statistical significance. Conclusion: Overall,?the quality of?pediatric mycoplasma pneumonia?nursing measures?can effectively?alleviate clinical?symptoms,?improve clinical efficiency. Key Words: Children;?mycoplasma pneumonia;?nursing Type Of Thesis: Application Foundation 80例小儿支原体肺炎的临床护理体会 [摘要]目的：进一步探究小儿支原体肺炎的临床护理对策。方法：收集了2012年9月-2013年9月我院收治的80例小儿支原体肺炎患者临床资料进行详细研究，将上述患儿随机分为两组，40例对照组患儿接受常规护理方法，40例研究组患儿接受全面、优质的临床护理。结果：研究组患者治疗有效率（97.5%）显著高于对照组（72.5%），p＜0.05，差异有统计学意义。研究组患者临床体征缓解时间明显低于对照组，p＜0.05，差异有统计学意义。结论：全面、优质的小儿支原体肺炎护理对策，能有效缓解患者临床体征，提高临床治疗有效率。 [关键词]小儿；支原体肺炎；临床护理 1前言 1.1背景及意义支原体肺炎(mycoplasmal pneumonia)又称原发性非典型肺炎(primary atypical，pneumonia)，是支原体(MP 病原肺炎支原是介于细菌和病毒之间的已知能独立生活的病原微生物中最小者，能通过细菌滤器，需要含胆固醇的特殊培养基，在接种10天后才出现菌落，菌落很小，很少超过0.5mm。病原体直径为125～150nm，与黏液病毒的大小相仿，无细胞壁，故呈球状、杆状、丝状等多种形态，革兰染色阴性。能耐冰冻。37时只能存活几小时。肺炎支原体经飞沫传播，侵入呼吸道黏膜后，通过其特殊的结构、紧密吸附于易感宿主的细胞膜的受体上，在其表现增殖并释放毒性物质，如过氧化氢、酶、膜脂类等，造成组织损伤。其基本病理改变是间质性肺炎及急性毛细支气管炎，显微镜下可见局部黏膜组织充血、水肿、变厚，细胞膜被损伤，上皮细胞纤毛运动消失，单核细胞及浆细胞浸润，细支气管中可见到中性粒细胞及坏死的上皮细胞。)感染引起的肺部急性炎症，是学龄儿童及青年常见的一种肺炎，婴幼儿也不少见。潜伏期 ?约2～3周(8～35天)。症状?