唐媛玲

【摘要】 目的：观察并探讨布地奈德（BUD）、沙丁胺醇（SAL）和异丙托溴铵（IB）三联雾化吸入联合优质护理干预对支气管哮喘患儿肺功能的影响及效果。方法：分析2015年2月-2016年3月在本院儿科住院的620例儿童支气管哮喘患者，随机平均分为对照组和研究组。两组均采用BUD、SAL联合IB三联雾化吸入治疗，对照组行常规护理干预，研究组在对照组的基础上采用优质护理干预。哮喘严重度由哮喘症状评分评估，肺功能用FEV1比较。观察两组患儿治疗前及采用药物治疗1、3、6个月的肺功能各项指标的情况，记录患儿的用药情况以明确患儿的依从性，同时对患儿进行满意度调查。结果：两组治疗前及治疗后1、3个月的肺功能比较，差异均无统计学意义（P>0.05）；治疗后6个月研究组的肺功能优于对照组，差异有统计学意义（P<0.05）。研究组护理满意度显著高于对照组（P<0.05）。研究组患儿治疗依从性优于对照组（P<0.05）。结论：雾化吸入有效治疗小儿支气管哮喘及气道炎症，大大改善患儿肺功能，优质护理可提高哮喘患儿的护理满意度及依从性。

【关键词】 小儿哮喘； 雾化吸入； 肺功能； 优质护理

【Abstract】 Objective：To observe and evaluate the effect of Budesonide（BUD）， Salbutamol（SAL） and Ipratropium Bromide（IB） combined inhalation combined with high-quality nursing intervention and effect on pulmonary function in children with bronchial asthma.Method：620 children with bronchial asthma in our hospital from February 2015 to March 2016，they were randomly divided into the control group and the study group.The two groups were treated with BUD，SAL combined with IB，and the control group received routine nursing intervention，the study group was based on the control group，used high quality nursing intervention.Asthma severity was assessed by the asthma symptom score， and the lung function was compared with FEV1. The two groups of patients before treatment and the use of drug treatment for 1，3，6 months of lung function indicators of the situation were observed，the patients medication in order to clear the childrens compliance were recorded， while the childrens satisfaction survey were analyzed.Result：The two groups before treatment and after treatment for 1，3 months of pulmonary function comparison，the differences were not statistically significant（P>0.05），after 6 months of treatment， the lung function of the study group was better than that of the control group，the difference was statistically significant（P<0.05）.The study group nursing satisfaction was significantly higher than that of the control group（P<0.05）.The treatment compliance of the study group was better than that of the control group（P<0.05）.Conclusion：Atomizing inhalation can effectively treat bronchial asthma and airway inflammation in children，and greatly improve the lung function，quality care can improve the nursing satisfaction and compliance of children with asthma.

【Key words】 Children asthma； Atomizing inhalation； Pulmonary function； Quality care

First-authors address：The Third Peoples Hospital of Taizhou City，Taizhou 225321，China

doi：10.3969/j.issn.1674-4985.2016.30.017

支气管哮喘是儿科常见的呼吸道慢性疾病之一，近年来发病呈上升趋势，雾化吸入治疗是一种常见的哮喘治疗手段。临床实践发现，雾化吸入可有效改善肺功能，护理干预对小儿哮喘具有重要干预效果[1]。本院在2015年2月-2016年3月对哮喘患儿给予三联吸入并结合优质护理干预，有效控制哮喘症状，取得了理想的效果，现报告如下。

1 资料与方法

1.1 一般资料 通过回顾性分析2015年2月-2016年3月在本院儿科住院的620例儿童支气管哮喘患者，均为特应性轻中度持续性哮喘患儿，所有患儿符合全球哮喘防治倡议和2008年我国儿童支气管哮喘诊断与防治指南中有关小儿支气管哮喘的诊断标准。将……