对136例难治性肺炎支原体肺炎患儿护理干预的效果探析.docVIP

精品论文 参考文献 对136例难治性肺炎支原体肺炎患儿护理干预的效果探析 曹霞 徐莲 　　（东南大学医学院附属江阴医院 江苏 江阴 214400） 　　【摘要】 目的:探讨对难治性肺炎支原体肺炎患儿进行护理干预的临床疗效。方法:选择136例我院住院治疗的难治性肺炎支原体肺炎患儿，对其实施专业的护理措施，配合规范的治疗，观察并记录患儿临床症状体征好转情况和炎症指标变化情况。结果:136例患儿临床症状体征均有一定程度的好转，平均住院天数10.28plusmn;2.86d，ESR、CRP较护理前明显下降（Plt;0.05），治疗总有效率为96.3%。结论:对难治性肺炎支原体肺炎患儿实施专业、有效的护理措施，能够提高治疗有效率，改善预后。 　　【关键词】 肺炎支原体；难治性；肺炎；专业护理 　　【中图分类号】R473.5 【文献标识码】B 【文章编号】2095-1752（2016）05-0303-03 　　The efficacy of nursing interventions in children with refractory mycoplasma pneumoniae pneumonia. Cao Xia,Xu Lian 　　Department of Jiangyin Hospital, Southeast University School of Medicine Jiangyin, China 214400 　　【Abstract】 Objective To study the efficacy of nursing interventions in children with refractory mycoplasma pneumoniae pneumonia. Methods Professional care measures were given to 136 cases of children with refractory mycoplasma pneumoniae pneumonia, with the standard treatments. Observe and record clinical symptoms and signs improved conditions and changes in inflammatory markers. Results The clinical symptoms and signs of 136 cases of children all had a certain degree of improvement. The average length of hospital stay was 10.28 plusmn; 2.86 d. Serum CRP and ESR decreased significantly (P lt; 0.05). The total effective rate was 96.3%. Conclusions The implementation of professional, effective interventions for children with refractory mycoplasma pneumoniae pneumonia can improve the efficiency of treatment and improve prognosis. 　　【Key words】 Mycoplasma pneumoniae;Refractory;Pneumonia; Professional care 　　肺炎支原体（mycoplasma pneumoniae，MP）是目前儿童下呼吸道感染的主要病原之一，10%～40%儿童社区获得性肺炎由MP感染所致[1]。近年来，肺炎支原体肺炎（mycoplasma pneumoniae pneumonia，MPP）发病率有上升趋势，重症与难治性MPP比例明显增高[2]。重症肺炎支原体肺炎除了普通肺炎表现外，常伴有其他脏器的损害[3]。临床工作中一般将经正规抗感染治疗无效的肺炎支原体感染病例列为难治性MPP。本研究通过评估糖皮质激素辅助治疗儿童难治性肺炎支原体肺炎的疗效，为临床治疗工作提供参考。 　　1.资料与方法 　　1.1 入选标准 　　目前难治性MPP目前尚无确切的诊断标准，本研究参照《儿童社区获得性肺炎管理指南》严重度判断标准[4-5]，入组标准如下：血清 MP-IgM 阳性，滴度ge; 1:160；正规应用大环内酯类抗生素1周以上，仍持续发热（腋温ge;38.5℃）；同时需具备（1