程雪　郭娟

[摘要]目的 探討重症肺炎患儿给予气道护理对呼吸道感染和炎性指标的影响。方法 选取2016年1月～2017年1月我院收治的88例重症肺炎患儿作为研究对象，采用随机数字表法将其分为对照组、观察组，每组44 例。对照组患儿给予常规护理，观察组患儿在常规护理基础上给予气道护理，比较两组患儿呼吸道感染发生率以及炎性指标变化。结果 观察组患儿的呼吸道感染发生率低于对照组，差异有统计学意义（χ2=4.019，P<0.05）。干预前，两组患儿炎性指标水平变化的比较，差异均无统计学意义（P>0.05）；干预后，两组患儿炎性指标水平均低于干预前，且观察组患儿炎性指标水平均低于对照组，差异均有统计学意义（P<0.05）。观察组患儿咳嗽、肺啰音、憋喘等临床症状消失时间均短于对照组，差异均有统计学意义（P<0.05）。结论 重症肺炎患儿给予气道护理有助于降低呼吸道感染发生率及炎性指标水平，进而改善患儿临床症状。

[关键词]重症肺炎；综合气道护理；呼吸道感染；炎性指标

[中图分类号] R563 [文献标识码] A [文章编号] 1674-4721（2018）8（a）-0206-03

The influence of airway nursing on respiratory tract infection and inflammatory indexes in children with severe pneumonia

CHENG Xue1 GUO Juan2

1. Department of Pediatrics， Ji′an Maternal and Child Health-Care Hospital in Jiangxi Province， Ji′an 343000， China； 2. Department of Neonatal， Ji′an Maternal and Child Health-Care Hospital in Jiangxi Province， Ji′an 343000， China

[Abstract] Objective To explore the influence of airway nursing on respiratory tract infection and inflammatory indexes in children with severe pneumonia. Methods A total of 88 children with severe pneumonia admitted to our hospital from January 2016 to January 2017 were selected as research objects， and were divided into control group and observation group with 44 cases in each group by random number table method. The control group was given routine nursing， while the observation group was given airway nursing on the basis of routine nursing. The incidence of respiratory tract infection and changes of inflammatory indexes were compared between the two groups. Results The incidence of respiratory tract infection in the observation group was lower than that in the control group， the difference was statistically significant （χ2=4.019， P<0.05）. Before the intervention， there was no statistical difference between the two groups （P>0.05）. After the intervention， the levels of inflammatory indicators in the two groups of children were lower than those before the intervention， and the levels of inflammatory indicators in the observation group were lower than those in the control group， the differences were statistically significant （P<0.05）. The disappearance time of clinical symptoms such as cough， lung rale and dyspnea in the observation group were shorter than those in the control group， and the differences were statistically significant （P<0.05）. Conclusion Airway care in children with severe pneumonia helps to reduce the incidence of respiratory tract infections and the level of inflammatory indexes， then improve the clinical symptoms of children.

[Key words] Severe pneumonia； Airway nursing； Respiratory tract infection； Inflammatory indexes

肺炎在临床儿科中属常见病和多发病，由于小儿自身呼吸系统尚未完全发育成熟，加之其机体免疫力较差，因此在发生肺炎后，很容易发展为重症肺炎，甚至导致患儿出现死亡[1]。有学者通过研究报道，在重症肺炎患儿接受治疗的过程中，为其开展积极的护理干预可使患儿的肺炎临床症状得以有效改善，进而改善其疾病预后[2]。由于重症肺炎患儿的发病位置为肺部，因此可能导致患儿出现呼吸道感染症状，所以加强气道护理干预显得极为重要，气道护理干预的开展不但可使呼吸道感染得到有效预防，同时也可使患儿的呼吸顺畅得到保障[3]。本次研究选取我院收治的重症肺炎患儿88例，探讨重症肺炎患儿给予气道护理对呼吸道感染和炎性指标的影响，现报道如下。……