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目的探讨体位干预治疗新生儿重症吸入性肺炎的临床效果。方法选取2016年1—2017年6月该院收治的305例重症吸入性肺炎患儿,依据治疗方案的不同将其分为二组,观察组应用体位干预加地塞米松联合沐舒坦治疗,对照组单纯应用地塞米松联合沐舒坦治疗,对比二组患儿临床治疗疗效,机械通气时间、呼吸困难消失时间、患儿吸氧时间、肺部湿啰音消失时间及住院时间。结果观察组治疗后总有效率96.75%,对照组81.46%,二组疗效比较差异有统计学意义(χ2=20.27,P<0.05)。观察组的患儿机械通气时间及氧疗时间分别为(0.6±0.4)d及(1.1±0.2)d,对照组分别为(1.6±0.3)d及(2.0±0.3)d,二组比较差异均有统计学意义(P<0.05)。观察组呼吸困难消失时间[(1.8±0.6)d]、肺部湿啰音消失时间[(3.7±1.1)d]及住院天数[(5.0±1.7)d]均比对照组短[(3.1±1.2)d、(4.9±1.1)d、(5.9±1.2)d],二组比较差异有统计学意义(P<0.05)。结论休位干预治疗新生儿重症吸入性肺炎较单纯应用地塞米松联合沐舒坦治疗较果更佳,可缩短患儿机械通气时间、缩短氧疗时间,缩短患儿住院时间,并呼吸困难及肺部湿啰音消失时间缩短,值得推广及应用。
Objective To investigate the clinical effect of body position intervention on neonatal severe aspiration pneumonia. Methods From January 2016 to June 2017, 305 children with severe inhalant pneumonia admitted to our hospital were divided into two groups according to the different treatment plans. The observation group was treated with dexamethasone plus mucosolvan and the control group Simple dexamethasone combined with mucosolvan treatment, compared the clinical efficacy of the two groups of children, mechanical ventilation time, dyspnea disappearance time, oxygen time in children, lung wet rales disappear time and hospital stay. Results After treatment, the total effective rate was 96.75% in the observation group and 81.46% in the control group. The difference between the two groups was statistically significant (χ2 = 20.27, P <0.05). The duration of mechanical ventilation and the duration of oxygen therapy in the observation group were (0.6 ± 0.4) days and (1.1 ± 0.2 days) respectively, while those in the control group were (1.6 ± 0.3) days and (2.0 ± 0.3) days, respectively All were statistically significant (P <0.05). The duration of the disappearance of dyspnea in the observation group was shorter than that in the control group [(1.8 ± 0.6) d] [(3.7 ± 1.1) d] and length of hospital stay [(5.0 ± 1.7) 1.2) d, (4.9 ± 1.1) d, (5.9 ± 1.2) d respectively. There was significant difference between the two groups (P <0.05). Conclusion The treatment of resuscitation severe pneumonia with neonatal pneumonia is better than dexamethasone plus mucosolvan alone, which can shorten the time of mechanical ventilation, shorten the oxygen therapy time, shorten the hospitalization time, and have difficulty breathing and lung Ministry of wet rales disappear time is short, it is worth promoting and application.