摘要
目的:观察定喘汤联合护理干预在儿童支气管哮喘急性发作期中的效果。方法:将80例儿童支气管哮喘急性发作期患者随机分成2组,每组40例。对照组先雾化再静脉滴注,观察组于对照组治疗基础上采用定喘汤加减治疗,治疗期间均做好护理干预,如严密观察生命体征、加强健康教育等。记录2组患者咳嗽、喘息及肺哮鸣音消失时间及发作次数,检测2组第1秒用力呼气容积(FEV_(1))、FEV_(1)占用力肺活量比值(FEV_(1)/FVC)及峰值呼气流速(PEF)变化,评价2组治疗疗效及治疗期间安全性。结果:观察组咳嗽、喘息及肺哮鸣音消失时间短于对照组(P<0.05)。观察组发作次数≥1次率明显低于对照组(P<0.05)。2组干预后FEV_(1)、FEV_(1)/FVC及PEF较干预前显著升高,观察组干预后明显高于对照组(P<0.05)。观察组总有效率92.5%明显高于对照组75.0%(P<0.05)。治疗期间未见明显严重性不良反应。结论:定喘汤加减联合西医用于治疗儿童支气管哮喘急性发作期效果显著,同时实施护理干预可促进患儿康复,避免不良事件的发生,保障患儿安全。
Objective:To observe the effect of Dingchuan tang combined with nursing intervention for children with bronchial asthma at acute exacerbation.Methods:A total of 80 cases of children with bronchial asthma at acute exacerbation were randomly divided into two groups,40 cases in each group.The control group was given atomization before intravenous drip,and the observation group was additionally given modified Dingchuan tang on the basis of the treatment of the control group.During treatment,nursing intervention was performed,such as close observation of vital signs,strengthening health education and so on.The disappearance time and onset frequencies of cough,wheezing and lung wheezing sound in the two groups were recorded;the changes in forced expiratory volume in one second(FEV_(1)),the ratio of forced expiratory volume in one second to forced vital capacity(FEV_(1)/FVC)and peak expiratory flow(PEF)in the two groups were detected;the curative effect and safety during treatment in the two groups were evaluated.Results:The disappearance time of cough,wheezing and lung wheezing sound in the observation group were shorter than that in the control group(P<0.05).The onset frequencies which were equal to or greater than one time were significantly lower than those in the control group(P<0.05).After intervention,FEV_(1),FEV_(1)/FVC and PEF in the two groups were significantly increased when compared with those before intervention,and the above indexes in the observation group were significantly higher than those in the control group(P<0.05).The total effective rate was 92.5% in the observation group,significantly higher than that of 75.0% in the control group(P<0.05).During treatment,there was no significant severe adverse reactions.Conclusion:Modified Dingchuan tang combined with western medicine for children with bronchial asthma at acute exacerbation has significant effect.At the same time,the implementation of nursing intervention can promote the rehabilitation of children,avoid the occurrence of adverse events,and ensure the safety of children.
作者
龚峥峥
张盛
王丹静
张波
王萍
GONG Zhengzheng;ZHANG Sheng;WANG Danjing;ZHANG Bo;WANG Ping
出处
《新中医》
CAS
2021年第9期157-160,共4页
New Chinese Medicine
关键词
支气管哮喘
儿童
急性发作期
定喘汤
肺功能
护理研究
Bronchial asthma
Children
Acute exacerbation
Dingchuan tang
Lung function
Nursing study
