探讨综合性护理干预在阿奇霉素序贯疗法治疗小儿支原体肺炎中的临床应用及护理效果
To Investigate the Clinical Application and Nursing Effect of Comprehensive Nursing Intervention in Azithromycin Sequential Therapy in the Treatment of Mycoplasma Pneumonia in Children
DOI: 10.12677/acm.2024.1441177, PDF,   
作者: 卢昌霞：甘肃中医药大学附属医院儿科，甘肃 兰州；葸英博：甘肃中医药大学附属医院护理部，甘肃 兰州
关键词: 综合性护理；阿奇霉素；小儿支原体肺炎；护理效果；Comprehensive Nursing； Azithromycin； Mycoplasma Pneumonia in Children； Nursing Effect
摘要: 目的：探讨综合性护理在阿奇霉素序贯疗法治疗小儿支原体肺炎(MPP)的临床应用和护理效果。方法：研究对象选取2023年1月~2023年12月期间于我院就诊的62例MPP患儿，分为两组：观察组(n = 31)和对照组(n = 31)，在阿奇霉素序贯疗法的基础上，对照组予常规护理，观察组予综合护理干预，比较两组MPP患儿的疗效。结果：观察组治疗有效率明显高于对照组(P < 0.05)，护理干预后，观察组患儿的症状缓解时间比对照组更短(P < 0.05)，观察组患儿的治疗依从性以及患儿家长对于护理的满意度高于对照组(P < 0.05)，患儿在生活质量方面的评分大于对照组(P < 0.05)。结论：阿奇霉素序贯疗法，联合综合性护理干预，可以大幅提高小儿支原体肺炎的疗效，改善临床症状，值得临床推广。
Abstract: Objective: To explore the clinical application and nursing effect of comprehensive nursing in the sequential therapy of azithromycin for the treatment of Mycoplasma pneumonia (MPP) in children. Method: A total of 62 children with MPP who visited our hospital from January 2023 to December 2023 were selected as the study subjects. They were divided into two groups: the observation group (n = 31) and the control group (n = 31). On the basis of sequential therapy with azithromycin, the control group received routine care, while the observation group received comprehensive nursing intervention, comparing the therapeutic effects of two groups of children with MPP. Result: The treatment effectiveness rate of the observation group was significantly higher than that of the control group (P < 0.05). After nursing intervention, the symptom relief time of the observation group was shorter than that of the control group (P < 0.05). The treatment compliance of the observation group children and the satisfaction of their parents with nursing were higher than those of the control group (P < 0.05). The children’s quality of life score was higher than that of the control group (P < 0.05). Conclusion: Azithromycin sequential therapy combined with comprehensive nursing intervention can significantly improve the therapeutic effect and clinical symptoms of Mycoplasma pneumonia in children, and is worthy of clinical promotion.
文章引用：卢昌霞, 葸英博. 探讨综合性护理干预在阿奇霉素序贯疗法治疗小儿支原体肺炎中的临床应用及护理效果[J]. 临床医学进展, 2024, 14(4): 1423-1428. https://doi.org/10.12677/acm.2024.1441177

参考文献

[1] 吴海涛. 红霉素与甲泼尼龙冲击疗法联用治疗小儿肺炎支原体大叶性肺炎的效果探讨[J]. 系统医学, 2022, 7(17): 147-150 154.
[2] 鲍汝英, 徐国成. 儿童难治性肺炎支原体肺炎的发病机制及治疗进展[J]. 齐齐哈尔医学院学报, 2022, 43(13): 1274-1278.
[3] 黄廷读. 药物治疗小儿肺炎支原体肺炎研究进展[J]. 世界复合医学, 2021, 7(11): 195-198.
[4] 刘芹, 陈营. 阿奇霉素序贯疗法治疗小儿支原体肺炎的效果观察[J]. 中国实用医药, 2024, 19(3): 24-27.
[5] 荀珍娣, 邓琦. 综合性护理干预在小儿支原体肺炎中的护理效果分析[J]. 现代养生, 2022, 22(14): 1172-1174.
[6] 王卫平, 孙锟, 常立文. 儿科学[M]. 第9版. 北京: 人民卫生出版社, 2018: 45-46.
[7] 赵利娟, 张俊梅. 阿奇霉素联合布地奈德混悬液雾化吸入治疗小儿肺炎支原体肺炎的临床效果观察[J]. 罕少疾病杂志, 2023, 30(12): 32-33 44.
[8] 国春柘, 成芳, 薛乔, 等. 小儿支原体肺炎血Th17/Treg细胞失衡与心肌损害发生的相关性[J]. 西部医学, 2023, 35(12): 1822-1825.
[9] 李岩, 韩光跃, 姜彩肖, 等. 河北省石家庄地区肺炎住院儿童腺病毒流行病学及基因特征分析[J]. 国际病毒学杂志, 2021, 28(6): 489-493.
[10] Zhang, C., Zhang, Q., Du, J.L., et al. (2020) Correlation between the Clinical Severity, Bacterial Load, and Inflammatory Reaction in Children with Mycoplasma pneumoniae Pneumonia. .Current Medical Science, 40, 822-828.
[11] 刘瀚旻, 马融. 儿童肺炎支原体肺炎中西医结合诊治专家共识(2017年制定) [J]. 中国实用儿科杂志, 2017, 32(12): 881-885.
[12] 张琦, 冯伟平, 韩涛. 乙酰半胱氨酸联合PDCA循环法治疗小儿支原体肺炎的临床疗效及其对免疫功能的影响[J]. 实用药物与临床, 2022, 25(3): 247-250.
[13] 李乐强. 布地奈德联合阿奇霉素治疗小儿肺炎支原体感染的临床疗效及其对炎性因子的影响[J]. 临床合理用药杂志, 2020, 13(30): 89-91.
[14] 曹若楠, 李小宁, 阮欣然, 等. 阿奇霉素联合左氧氟沙星对不同ST型肺炎克雷伯菌生物膜的抑制和清除作用的研究[J]. 中国临床药理学与治疗学, 2023, 28(12): 1347-1356.
[15] 陈慧. 阿奇霉素联合普米克令舒雾化吸入治疗小儿肺炎支原体感染的疗效及对免疫功能的价值体会[J]. 中国社区医师, 2020, 36(17): 21 23.
[16] 胡丽丽. 综合性护理对小儿肺炎治疗效果的影响[J]. 实用中西医结合临床, 2022, 22(7): 121-123.
[17] 孙婷婷. 阿奇霉素序贯治疗小儿肺炎支原体肺炎的临床效果[J]. 妇儿健康导刊, 2023, 2(24): 62-64.
[18] 邹莉萍. 临床护理在小儿支原体肺炎中的效果和家长满意度观察[J]. 中国医药指南, 2023, 21(35): 167-169.

为你推荐