中药穴位导入联合基础治疗护理新生儿肺炎随机平行对照研究

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[目的]观察中药穴位导入联合基础治疗护理新生儿肺炎疗效。[方法]使用前瞻性设计方法,将100例住院及门诊患者按就诊顺序编号方法随机分为两组。对照组50例基础治疗。治疗组50例中药穴位导入,在两个电极片上固定中药贴片,咳嗽痰多,贴于左、右肺俞穴;咳嗽气喘,贴于天突、定喘。用绷带对其进行有效的固定;依据年龄,设置合理强度,联合中频、超声,1次/d,20min/d,基础治疗同对照组。护理前对两组患儿病情进行评估,调节室内温度,保持在24℃~28℃;正确黏贴电极片,调整好数据,进行治疗,密切观察患儿病情变化,患儿出现烦躁不安等,立刻停止治疗,并对治疗部位情况进行认真细致观察,保证其没有异常后,依据情况继续给予中药穴位导入治疗;完成治疗后对治疗部位皮肤情况进行认真细致的观察,发现异常,给予针对性处理。观测临床症状、喘息基本消失时间、肺部啰音消失时间、X线阴影消失时间、住院时间、并发症发生情况、不良反应。护理1疗程,判定疗效。[结果]治疗组痊愈20例,显效18例,有效10例,无效2例,总有效率96.00%。对照组痊愈13例,显效10例,有效8例,无效19例,总有效率62.00%。治疗组疗效优于对照组(P<0.05)。[结论]中药穴位导入联合基础治疗护理新生儿肺炎,疗效满意,无副作用,值得推广。 [Objective] To observe the curative effect of traditional Chinese medicine (TCM) acupoint induction combined with basic treatment on neonatal pneumonia. [Methods] Using prospective design method, 100 inpatients and outpatients were randomly divided into two groups according to the sequence number of visiting doctor. Control group, 50 cases of basic treatment. In the treatment group, 50 cases of traditional Chinese medicine acupoints were introduced, fixed the traditional Chinese medicine patches on the two electrode pieces, cough and phlegm, and attached to the left and right Feishu points; cough and asthma; Bandage to its effective fixation; based on age, set a reasonable intensity, combined with IF, ultrasound, 1 / d, 20min / d, basic treatment with the control group. Care before the two groups of children to assess the disease condition, adjust the indoor temperature, maintained at 24 ℃ ~ 28 ℃; correct paste electrode piece, adjust the data, treatment, close observation of children with changes in condition, children with irritability, Immediately stop the treatment, and careful observation of the treatment site situation to ensure that there is no abnormalities, according to the situation continue to be given Chinese medicine points into the treatment; after completion of the treatment of the skin parts of the treatment area to carefully observe and found abnormalities, given targeted treatment . Observed clinical symptoms, wheezing disappeared time, pulmonary rales disappeared time, X-ray shadow disappear time, hospital stay, complications, adverse reactions. Nursing a course of treatment, to determine the efficacy. [Result] In the treatment group, 20 cases were cured, 18 cases were markedly effective, 10 cases were effective and 2 cases were ineffective. The total effective rate was 96.00%. The control group recovered in 13 cases, markedly effective in 10 cases, effective in 8 cases, ineffective in 19 cases, the total effective rate was 62.00%. The treatment group was better than the control group (P <0.05). [Conclusion] Chinese medicine acupoint introduction combined with basic treatment to treat neonatal pneumonia has satisfactory curative effect and no side effects, which deserves promotion.
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