毕业论文--不同雾化吸入方法在小儿支气管哮喘中的效果比较及护理.docVIP

不同雾化吸入方法在小儿支气管哮喘中的效果比较及护理 【摘要】 目的 探讨不同雾化吸入方法在小儿支气管哮喘中的治疗效果，并观察其护理效果。方法 选取2008年10月～2009年10月于我院进行治疗的81例小儿支气管哮喘患儿为研究对象，将其随机分为对照组(常规雾化吸入组)40例和观察组(氧驱动雾化给药组)41例，对所有患者行针对性的护理，给予患者个性化的护理模式，后将两组患者的治疗总有效率及心肺功能、副作用发生率等进行统计分析，并加以比较。结果 经研究比较发现，观察组的治疗总有效率明显高于对照组，副作用发生率明显低于对照组，FVC、FEV1、VC、FEV1%、PEFR、PaO2、 SaO2改善效果均优于对照组，经比较，P均lt;0.05，均有显著性差异。结论 在小儿支气管哮喘的治疗及护理中，采用氧驱动雾化给药的方式及针对性的护理模式效果较佳，值得推广应用。 【关键词】 小儿支气管哮喘;常规雾化吸入;氧驱动雾化给药;效果;护理 　　Abstract Objective To observe the effects of the treatment of children with bronchial asthma by different aerosol inhalation and their nusing.Methods Eighty-one children with branchial asthma admitted to our hospital between October 2008 and October 2009 were randomly divided into 2 groups,1 control group(routine aerosol inhalation group)(n=40) and 1 observation group (oxygen drive aerosol administration group)(n=41).All of the patients were expectantly nursed and given a personalized nursing model.Then the total effective rate of treatment,cardio-pulmonary function and incidence of side effects were statistically analyzed and compared.Results The total effective rate of treatment was significantly higher in the observation group than in the control group,the incidence of side effects significantly lower in the observation group than in the control group and the effects of improving FVC,FEV1,VC,FEV1%,PEFR,PaO2 and SaO2 in the observation group superior to those in the control group(Plt;0.05),which showed a significant difference.Conclusions In the treatment and nursing of children with branchial asthma,the adoption of the mode of oxygen drive aerosol administration and the model of expectant nursing has a better effect,which is worth application and dissemination. 　　KEYWORDS routine aerosol inhalation oxygen drive aerosol administration bronchial asthma in children effect nursing 　　哮喘的临床表现由许多不同程度的病理生理变化而形成的综合征，例如：支气管平滑肌痉挛、气道黏膜水肿、黏液分泌增多、黏膜纤毛功能障碍、支气管粘膜肥厚、支气管黏液栓塞等等，根据各种病理生理变化程度不同即可导致临床上不同程度的哮喘征候群，重者表现为急性严重的哮喘持续状态，轻者仅表现为胸闷，有些则表现为以咳嗽为主[1]。而一般常见的所谓支气管哮喘，则常指狭义