摘要
目的探讨经鼻高流量湿化氧疗联合远红外小儿止咳贴在慢性支气管炎治疗中的应用价值。方法选择2021年6月—2024年6月兰州中西医结合医院收治的104例慢性支气管炎伴感染患者,按照治疗方法的不同分为观察组和对照组,各52例。对照组接受经鼻高流量湿化氧疗治疗,观察组在对照组基础上联合远红外小儿止咳贴治疗。治疗前及治疗1周后,比较两组痰液性质、血气指标、症状改善时间、气管插管率、住院时间、肺功能、免疫指标水平,以及肺部病理变化的改善情况。结果治疗后,观察组痰液性质分布优于对照组,差异有统计学意义(P<0.05)。观察组咳嗽、咳痰、喘息等改善时间和住院时间均短于对照组,气管插管率低于对照组,差异均有统计学意义(P<0.05)。治疗后,观察组FVC、FEV1、FEV1/FVC和MVV水平均高于对照组,差异均有统计学意义(P<0.05)。治疗后,观察组TNF-α、CD8+、CRP水平均低于对照组,+CD4高于对照组,差异均有统计学意义(P<0.05)。结论经鼻高流量湿化氧疗联合远红外小儿止咳贴治疗慢性支气管炎,可有效改善患儿的痰液性质,快速缓解临床症状,降低气管插管风险,缩短住院时间,改善肺功能和免疫水平。
Objective To investigate the application value of nasal high-flow humidifying oxygen therapy combined with far-infrared cough patch in the treatment of chronic bronchitis.Method 104 patients with chronic bronchitis with infection treated in Lanzhou Hospital of Integrated Traditional and Western Medicine from June 2021 to June 2024 were selected and divided into observation group and control group according to different treatment methods,with 52 cases in each group.The control group was treated with nasal high-flow humidifying oxygen therapy,and the observation group was treated with far-infrared pediatric cough patch on the basis of the control group.Before treatment and 1 week after treatment,the sputum properties,blood gas index,symptom improvement time,tracheal intubation rate,hospital stay,lung function,immune index level,and pulmonary pathological changes were compared between the two groups.Results After treatment,the distribution of sputum properties in the observation group was better than that in the control group,the difference was statistically significant(P<0.05).The improvement time of cough,sputum,wheezing and hospitalization in the observation group were shorter than those in the control group,and the tracheal intubation rate was lower than that in the control group,with statistical significance(P<0.05).After treatment,the levels of FVC,FEV1,FEV1/FVC and MVV in observation group were higher than those in control group,and the differences were statistically significant(P<0.05).After treatment,the levels of TNF-α,CD8+and CRP in observation group were lower than those in control group,and CD4+were higher than those in control group,with statistical significance(P<0.05).Conclusion The combination of nasal high flow humidified oxygen therapy and far-infrared pediatric cough suppressant patch can effectively improve the sputum properties of children with chronic bronchitis,rapidly alleviate clinical symptoms,reduce the risk of tracheal intubation,shorten hospitalization time,and improve lung function and immune levels.
作者
廖晚莹
王梦
Liao Wanying;Wang Meng(Department of Pediatrics,Lanzhou Hospital of Integrated Traditional Chinese and Western Medicine,Lanzhou 730030,China)
出处
《现代仪器与医疗》
2025年第2期42-46,共5页
Modern Instruments & Medical Treatment
基金
甘肃省中医药研究中心开放课题基金资助项目(zyzx-2022-zx21)。
关键词
远红外小儿止咳贴
经鼻高流量湿化氧疗
慢性支气管炎
胸部X线检查结果
Far infrared cough suppressant patch for children
Nasal high flow humidified oxygen therapy
Chronic bronchitis
Chest X-ray examination results
作者简介
第一作者:廖晚莹,女,硕士研究生,副主任医师,研究方向:儿科疾病治疗。
