布地奈德雾化吸入联合系统护理干预治疗儿童哮喘急性发作

为了探讨布地奈德雾化吸入联合系统护理干预治疗儿童哮喘急性发作的临床效果,本研究选取2016年2月至2017年12月在我院治疗的哮喘急性发作患儿84例,采用随机数字表法将患儿随机分为观察组(n=44)和对照组(n=40),均给予地奈德雾化吸入,其中对照组给予常规护理,观察组在对照组基础上增加系统护理干预,观察两组治疗疗效、临床症状消失时间、治疗依从性、肺功能等。研究结果表明观察组治疗疗效优于对照组(p<0.05),其治疗总有效率为93.18%;观察组和对照组喘息、咳嗽和肺部哮鸣音消失时间比较差异无统计学意义(p>0.05);观察组治疗后用力肺活量(FVC)、第一秒用力呼气容积(FEV1)和呼气流量峰值(PEF)分别为(3.30±1.03) L、(2.70±0.81) L和(6.10±0.90) L/s,明显高于对照组(p<0.05);观察组治疗依从性好的比例为86.36%,明显高于对照组(p<0.05);观察组和对照组治疗期间未发生不良反应。研究结果初步说明布地奈德雾化吸入联合系统护理干预治疗儿童哮喘急性发作能提高治疗效果,同时提高患儿治疗依从性。

Effect of Budesonide Inhalation Combined with Nursing Intervention in the Treatment of Acute Attack of Asthma in Children

To explore the clinical effect of budesonide atomization inhalation combined with nursing intervention in the treatment of acute attack of asthma in children. From February 2016 to December 2017, 84 children with acute asthma treated in our hospital were randomly divided into the observation group(n=44) and the control group(n=40) by random digital table, were treated with Budesonide aerosol inhalation, the control group were received routine nursing care, the observation group were given systematic nursing intervention on the basis of the control group, the therapeutic effect, the disappearance time of clinical symptoms, the compliance of the treatment and the lung function and so on were observed in the two groups. The curative effect of the observation group was better than that of the control group(p<0.05), and the total effective rate was 93.18%;There was no significant difference in the disappearance time of wheeze, cough and lung wheeze in the observation group and the control group(p>0.05);The forced vital capacity(FVC), forced expiratory volume in the first second(FEV1) and peak expiratory flow(PEF)in the observation group after treatmet were(3.30±1.03) L,(2.70±0.81) L and(6.10±0.90) L/s, respectively, which were significantly higher than those in the control group(p<0.05);The proportion of good compliance in the observation group was 86.36%, which was significantly higher than that in the control group(p<0.05);There was no adverse reaction between the observation group and the control group during the treatment. Budesonide inhalation combined with nursing intervention in the treatment of acute attack of asthma in children can improve the treatment effect and improve the compliance of the children.