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专用约束装置在肺泡灌洗患儿中的应用效果

Application effect of specialized restraint device in pediatric patients un-dergoing alveolar lavage

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目的 探讨专用约束装置在肺泡灌洗患儿中的应用效果.方法 选取2021年4月至2022年7月赣州市妇幼保健院收治的拟行电子支气管镜肺泡灌洗治疗的60例患儿作为研究对象,按照抽签法将其分为对照组和观察组,每组各30例.对照组患儿在治疗过程中使用传统约束方法进行约束,观察组患儿在治疗过程中使用肺泡灌洗患儿专用约束装置进行约束,比较两组患儿在灌洗前2h(T0)、灌洗治疗开始后即刻(T1)、灌洗治疗开始后1 min(T2)、灌洗治疗开始后3min(T3)、灌洗治疗结束后即刻(T4)的心率、血压、血氧饱和度情况,记录并比较两组的肺泡灌洗操作时间、灌洗治疗过程中人力约束成本,以及患儿在院期间并发症发生情况.结果 T1、T2、T3、T4时,观察组的心率及血压均低于对照组,观察组的血氧饱和度高于对照组,差异有统计学意义(P<0.05);两组患儿T1、T2、T3、T4时的心率、血压均高于T0时,血氧饱和度均低于T.时,差异有统计学意义(P<0.05).观察组操作总时间短于对照组,人力约束成本低于对照组,差异有统计学意义(P<0.05).观察组的并发症总发生率低于对照组,差异有统计学意义(P<0.05).结论 肺泡灌洗患儿专用约束装置能稳定患儿治疗过程中的生命体征,缩短治疗时间,减少患儿约束的人力成本,降低并发症发生率.
Objective To investigate the application effect of specialized restraint device in pediatric patients undergoing alveolar lavage.Methods A total of 60 children who were admitted to Ganzhou Woman and Children's Health Care Hospital from April 2021 to July 2022 and planned to be treated with electronic bronchoscope alveolar lavage were selected as the study subjects,and they were divided into control group and observation group according to the method of drawing lots,with 30 cases in each group.The children in the control group used traditional restraint methods during the treatment,and the children in the observation group used specialized restraint device for children with alveolar lavage during the treatment.The heart rate,blood pressure,and blood oxygen saturation of the two groups were compared 2 hours before lavage(T0),immedi-ately after the beginning of lavage treatment(T1),1 minute after the beginning of lavage treatment(T2),3 minutes after the beginning of lavage treatment(T3),and immediately after the end of lavage treatment(T4).And the operation time of alveolar lavage,the cost of manpower restraint in the process of lavage treatment and the complications of children in hospital were recorded and compared betweent the two groups.Results At T1,T2,T3 and T4,the heart rate and blood pressure in the obser-vation group were lower than those in the control group,and blood oxygen saturation in the observation group were higher than those in the control group,with statistically significant differences(P<0.05).The heart rate and blood pressure of the two groups at T1,T2,T3 and T4 were higher than those at T0,and the levels of blood oxygen saturation were lower than those at T0,and the differences were statistically significant(P<0.05).The total operation time of the observation group was lower than that of the control group,and the cost of manpower restraint was lower than that of the control group,with statistically significant differences(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,with statistically significant difference(P<0.05).Conclusion The specialized restraint device for children with alveolar lavage can stabilize the vital signs of children during treatment,shorten the treatment time,reduce the labor cost of restraint,and reduce the incidence of complications.

Alveolar lavageRestraintsFiberoptic bronchoscopeHeart rateBlood pressureBlood oxygen saturation

宋俪、肖春红、彭绪云

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江西省赣州市妇幼保健院内镜中心,江西赣州 341000

肺泡灌洗 约束装置 纤维支气管镜 心率 血压 血氧饱和度

江西省卫生健康委科技计划项目

202312053

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(27)
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