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1、护理干预对小儿重症肺炎并发呼吸衰竭的临床分析叶秋云［摘要］目的：探讨护理干预在小儿重症肺炎并发呼吸衰渴中的临床作用。方法：回顾性分析我院收治的64例重症肺炎并发呼吸衰竭的小儿患者的临床资料，根据护理方法不同分为护理干预组和对照组，分别给予护理干预和常规护理,比较两组患者的临床疗效以及肺活量、深吸气量、用力肺活量、每分最大通气量、风流速等各肺功能监测情况。结果：护理干预组患者的治愈率53.13%,自动出院率15.63%均显著高于对照组患者，p<0.05,死亡率6.25%显著低于对照组患者，p<0.05；护理干预组患者的肺活量
2、、深吸气量、用力肺活量、每分最大通气量、通气流速均显著大于对照组患者，p<0.05o结论：护理干预小儿重症肺炎并发呼吸衰竭能明显改善患儿的呼吸功能，提高患儿治愈率，降低死亡率。［关键词］小儿重症肺炎呼吸衰渴护理干预DOI:10.3760/cma.j.issn.1672-7088.2014.21.42作者单位：471000,河南洛阳市，河南洛阳市妇女儿童医疗保健中心儿内科［作者简介］叶秋云（1967—）,女，1986年毕业于新乡地区卫校，同年九月参加工作，木科（郑州大学），河南省洛阳市妇女儿童医疗保健中心主管护师。Clinical
3、AnalysisofNursingInterventiononChildrenwithSeverePneumoniaandRespiratoryFailureYeQiuyunAbstract:ObjectiveToinvestigatetheclinicaleffectsofnursinginterventiononchildrenwithseverepneumoniaandrespiratoryfailure.MethodsAretrospectiveanalysisoftheclinicaldataof64casesofpedia
4、tricpatientswithseverepneumoniaandrespiratoryfailureadmittedintheauthor’shospitalweredividedintonursinginterventiongroupandcontrolgroupaccordingtothedifferentmethodsofcare,eachwith32cases.Thenursinginterventiongroupwasgivennursinginterventionwhilethecontrolgroupre
5、ceivedroutinecare.Clinicalefficacy,lungcapacity,aspiratorycapacity,forcedvitalcapacity,minutemaximumventilation,airflowrate,andotherlungfunctionmonitoringwerecomparedbetweenthetwogroupsofpatients.ResultsThecurerateofnursinginterventiongroupwas53.13%withdischargedrate15.
6、63%,whichweresign讦icantlyhigherthanthecontrolgrouppatients,p<0.05,themortalityratewas6.25%,significantlylowerthanthecontrolgroup,p<0.05;FVC,aspiratorycapacity,forcedvitalcapacity,minutemaximumventilation,ventilationflowratesofnursinginterventiongrouppatientsweresi
7、gnificantlyhigherthanthecontrolgroupofpatients,p<O.O5.ConclusionNursinginterventioninchildrenwithseverepneumoniaandrespiratoryfailurecansign讦icantlyimprovepatients’respiratoryfunction,improvingthecurerateandreducemortality.Keywords:childrenwithseverepneumonia;r
8、espiratoryfailure;nursingintervention肺炎是小儿常见的疾病之一，多发于冬春季节，起病急，临床表现复，杂病情变化快，而且小儿机体免疫功能和中枢调节系统尚为发育完善，呼吸道狭窄短小、血管密
