预见性护理在提高重症肺炎患儿治疗效果和降低并发症发生率中作用.docVIP

预见性护理在提高重症肺炎患儿治疗效果和降低并发症发生率中作用 　　[摘要]目的 探讨预见性护理在提高重症肺炎患儿治疗效果和降低并发症发生率中的作用。方法 选取2012年1月～2016年5月我院收治的66例重症肺炎患儿，随机分为研究组和对照组，各33例。对照组采用常规护理措施，研究组在对照组基础上给予预见性护理，对两组患儿治疗前后肺功能改善情况、临床症状、体征改善时间及并发症情况进行综合比较。结果 治疗后7 d和14 d，研究组患儿动脉二氧化碳分压（PaCO2）明显低于对照组（P0.01），研究组氧分压（PaO2）及血氧饱和度（SpO2）高于对照组（P0.01）；研究组患儿咳嗽、气促、哮鸣音等症状消失时间短于对照组（P0.01）；研究组住院时间短于对照组（P0.01）；对照组出现肺水肿4例（12.1%），支气管扩张1例（3.0%），感染性休克1例（3.0%），研究组患儿未出现治疗并发症，优于对照组（P0.05）。结论 预见性护理应用于重症肺炎患儿效果确切，能有效改善肺功能、增强治疗效果，降低并发症发生率，改善患儿预后，值得临床推广。 　　[关键词]预见性护理；儿童；重症肺炎；并发症 　　[中图分类号] R248.4 [文献标识码] A [文章编号] 1674-4721（2016）10（a）-0179-03 　　[Abstract]Objective To explore the role of predictive nursing in enhancing the treatment effects of children with severe pneumonia and decreasing the incidence rate of complications.Methods 66 children with severe pneumonia from January 2012 to May 2016 of our hospital were selected and were randomly divided into study group and control group.33 cases in each group.Patients in control group were used routine nursing measures，and patients in study group were given predictive nursing on the basis of control group.Improvement of pulmonary function，clinical symptom and signs improvement time and complications before and after treatment of children patients in two groups were comprehensive compared.Results After treatment for 7 days and 14 days，the artery PaCO2 of study group was lower than that of control group （P0.01），the PaO2 and SpO2 of study group was higher than that of control group （P0.01），the symptom disappearance time of cough，shortness of breath and wheeze of study group were shorter than those of control group （P0.01）；the hospital stay of study group was shorter than that of control group （P0.01）；there were 4 cases （12.1%） of pulmonary edema，1 case （3.0%） bronchiectasia and 1 case （3.0%） septic shock in control group，while no complications appeared in study group and which was better than that of control group （P0.05）.Conclusion Using predictive nursing in children with severe pneumonia with definitely