护理干预对小儿重症肺炎并发呼吸衰竭的临床分析.docVIP

精品论文 参考文献 护理干预对小儿重症肺炎并发呼吸衰竭的临床分析 叶秋云 　　[摘 要]目的：探讨护理干预在小儿重症肺炎并发呼吸衰竭中的临床作用。方法：回顾性分析我院收治的64例重症肺炎并发呼吸衰竭的小儿患者的临床资料，根据护理方法不同分为护理干预组和对照组，分别给予护理干预和常规护理，比较两组患者的临床疗效以及肺活量、深吸气量、用力肺活量、每分最大通气量、风流速等各肺功能监测情况。结果：护理干预组患者的治愈率53.13%、自动出院率15.63%均显著高于对照组患者，plt;0.05，死亡率6.25%显著低于对照组患者，plt;0.05；护理干预组患者的肺活量、深吸气量、用力肺活量、每分最大通气量、通气流速均显著大于对照组患者，plt;0.05。结论：护理干预小儿重症肺炎并发呼吸衰竭能明显改善患儿的呼吸功能，提高患儿治愈率，降低死亡率。 　　[关键词]小儿重症肺炎 呼吸衰竭 护理干预 　　DOI:10.3760/cma.j.issn.1672-7088.2014.21.42 　　作者单位：471000，河南洛阳市，河南洛阳市妇女儿童医疗保健中心儿内科 　　[作者简介]叶秋云（1967—），女，1986年毕业于新乡地区卫校，同年九月参加工作，本科（郑州大学），河南省洛阳市妇女儿童医疗保健中心主管护师。 　　Clinical Analysis of Nursing Intervention on Children with Severe Pneumonia and Respiratory Failure 　　Ye Qiuyun 　　Abstract: Objective To investigate the clinical effects of nursing intervention on children with severe pneumonia and respiratory failure. Methods A retrospective analysis of the clinical data of 64 cases of pediatric patients with severe pneumonia and respiratory failure admitted in the authorrsquo;s hospital were divided into nursing intervention group and control group according to the different methods of care, each with 32 cases. The nursing intervention group was given nursing intervention while the control group received routine care. Clinical efficacy, lung capacity, aspiratory capacity, forced vital capacity, minute maximum ventilation, air flow rate, and other lung function monitoring were compared between the two groups of patients. Results The cure rate of nursing intervention group was 53.13% with discharged rate 15.63%, which were significantly higher than the control group patients, plt;0.05, the mortality rate was 6.25%, significantly lower than the control group, plt;0.05; FVC, aspiratory capacity, forced vital capacity, minute maximum ventilation, ventilation flow rates of nursing intervention group patients were significantly higher than the control group of patients, plt;0.05. Conclusion Nursing intervention in children with severe pneumonia and respiratory failure can signif