系统护理在小儿分泌性中耳炎治疗中影响.docVIP

系统护理在小儿分泌性中耳炎治疗中影响 　　[摘要] 目的 评价系统护理在小儿分泌性中耳炎（Secretory otitis media，SOM）护理中的应用效果。 方法 2013年2月―2014年12月，据入院时顺序，结合患儿家属意愿，50例患儿给予常规护理纳入常规组，57例患儿给予系统护理纳入系统组，系统护理包括康复训练、心理护理、家庭支持系统、环境管理，对比临床疗效。 结果 3个月后，评价临床疗效，两组均有效；系统组治愈率94.74%高于常规组80.00%，差异具有统计学意义（P0.05）；常规组不良事件发生例次率30.0%高于系统组5.62%，差异具有统计学意义（P0.05）。 结论 系统护理有助于增进小儿SOM疗效，使听力完全恢复或基本恢复。 　　[关键词] 分泌性中耳炎；系统护理；临床疗效 　　[中图分类号] R473.76 [文献标识码] A [文章编号] 1674-0742（2016）02（c）-0138-03 　　The Effect of Systematic Nursing in the Treatment of Secretory Otitis Media in Children 　　LU Feng-xiang 　　Department of ENT， Jining No. 1 People’s Hospital， Jining， Shandong Province， 272100 China 　　[Abstract] Objective To evaluate the application effect of systematic nursing in the treatment of secretory otitis media （SOM） in children. Methods From February 2013 to December 2014， according to the order of admission combined with the wishes of the families of children， 50 children given conventional nursing were set as the conventional group， 57 children given systematic nursing （rehabilitation training， psychological nursing， family support system and environmental management） were set as the systematic group. The clinical efficacy of the two groups was compared. Results The clinical efficacy was evaluated after 3 months of treatment. The treatment was effective in both groups. The cure rate was much higher in the systematic group than that in the conventional group （94.74% vs 80.00%） （P0.05）. The incidence of adverse events was much higher in the conventional group than that in the systematic group （30.0% vs 5.62%） （P0.05）. Conclusion For children with SOM， systematic nursing is conducive to improving the therapeutic effect and the complete or basic recovery of the hearing. 　　[Key words] Secretory otitis media； Systematic nursing； Clinical efficacy 　　分泌性中耳炎是指以中耳非化脓性炎症性、鼓室积液与传导性听力下降、耳痛一类疾病[1]。SOM可见于各个年龄阶段的人群，但以小儿多见，流行病学调查显示，儿童SOM发病率高达80%，学龄期儿童可达25%，6个月～4岁处于高发期。多数SOM可自愈，但仍有30%～40%患儿可能反复发作、迁延不愈，同时可并发化脓性中耳炎，复发率可达30%～40%，是儿童听力下降的主要原因之一。SOM若发病较早、久