【摘要】 目的探讨针对性护理干预对抗生素治疗小儿支气管肺炎效果的影响。方法选择2012年1月~2014年1月我院收治的小儿支气管肺炎患儿120例,将120例患儿根据护理方法不同分为干预组与对照组,两组患儿均予β-内酰胺类抗生素或大环内酯类抗生素等持续静滴,同时配合其他对症治疗。对照组实施随机对症护理,干预组采取有针对性的护理干预措施,包括心理护理、密切观察病情、保持呼吸道通畅、用药护理、并发症的护理,比较两组患儿的疗效,两组患儿的体温恢复正常时间、血常规恢复正常时间、平均住院时间及两组患儿治疗后的不良反应包括静脉炎、皮疹、消化道反应、抗生素相关性腹泻。结果治疗后,干预组的痊愈率达50.0%,总有效率达96.7%,对照组患儿的痊愈率35.0%,总有效率78.3%,两组患儿治疗后的疗效比较,差异有显著性(P<0.05)。干预组患儿无一例发生静脉炎,其不良反应发生率5.0%(3/60),对照组患儿不良反应发生率20.0%(12/60),干预组患儿的不良反应发生率明显低于对照组(P<0.05)。干预组患儿的体温恢复正常时间、血常规恢复正常时间、平均住院时间明显短于对照组(P<0.05)。结论抗生素治疗小儿支气管肺炎患儿采取包括心理、用药、并发症的护理等针对性的措施,可以提高临床治疗的疗效,缩短住院时间,使患儿尽快康复健康。更多还原

【Abstract】 Objective To investigate the effect of nursing interventionin the treatment of children bronchial pneumonia with antibiotics. Methods Children with bronchial pneumonia from 2012 January to 2014 January in our hospital were120 cases, 120 cases according to the different nursing methods were randomly divided into intervention group and control group, two patients were treated with beta lactam antibiotics or macrolide antibiotics intravenous drip,at the same time with the other symptomatic treatment. The implementation of the control group were symptomatic care,intervention group were given targeted nursing interventions,including psychological nursing, close observation, nursing,medication nursing care to maintain airway patency, complications,efficacy was compared between two groups after treatment, two groups of children with the temperature returned to normal time,blood recovery time, hospitalization time bad compared with the reaction and the two groups after treatment including inflammation,skin rashes, gastrointestinal reaction, antibiotic associated diarrheavein. Results After the treatment, the intervention group cure rate was 50.0%,the total effective rate of 96.7% patients in the control group, the cure rate of 35.0%, the total effective rate 78.3%,comparison of therapeutic effects of two groups after treatment, there were significant differences(P<0.05). Intervention group patients with no occurrence of phlebitis, the adverse reaction rate was 5.0%(3/60), the control group with adverse reaction rate was 20. 0%( 12/ 60), adverse reactions occurred in intervention group were significantlylower than the control group(P<0.05). The intervention group with the temperature returned tonormal time, blood recovery time was significantly shorter than the control group, the intervention group the average hospitalization time was shorter than the control group(P<0.05). Conclusion Antibiotic in treatment of children bronchial pneumonia in children includepsychology,medicine, nursing care of the complications such astargeted nursing intervention, can improve the efficacy of clinical treatment, shorten the time of hospitalization, the patients to recover as soon as possible.更多还原