Objective To explore the optimization of oxygen inhalation scheme in standardized emergency treatment for children with severe pneumonia and the improvement of emergency effect and clinical symptoms of children.Methods A total of 148 children with severe pneumonia admitted to the Children's Hospital of Nanjing Medical University from June 2020 to June 2022 were selected and randomly divided into the study group and the control group,with 74 cases in each group.The control group was treated with general emergency care,while the study group was treated with standardized emergency care combined with an optimized oxygen inhalation scheme(preoxygenation with 100％oxygen for 5 min before sputum suction).The nursing effects,time of resuscitation,hospital stay,complication rate,improvement time of clinical symptoms,and serum C-reactive protein(CRP),interleukin(IL)-6,IL-8,tumor necrosis factor-α(TNF-α)and blood oxygen saturation levels were compared between two groups.Results The rescue time,hospital stay of the study group were shorter,and cough relieving time,fever relieving time and dyspnea disappearance time were earlier than those of the control group(P＜0.01).The complication rate(5.41％vs 16.22％,x2=4.485,P＜0.05)in the study group was lower than that in the control group.The serum levels of CRP,IL-6,IL-8 and TNF-α of the two groups of children after nursing intervention were decreased and the above indicators levels in the study group were significantly lower than those in the control group(P＜0.05).The blood oxygen saturation of the study group at the time of sputum suction and 5 minutes after sputum suction was higher than that of the control group,with statistically significant differences(P＜0.01).Conclusion Standardized emergency care combined with an optimized oxygen inhalation scheme can accelerate the recovery of clinical symptoms in children with severe pneumonia,maintain the level of blood oxygen saturation effectively,reduce inflammatory reactions,and improve the effect of emergency treatment.
关键词
肺炎重症/血氧饱和度/急救护理/吸痰/预吸氧/临床症状
Key words
Severe pneumonia/Blood oxygen saturation/Emergency care/Sputum suction/Preoxygenation/Clinical symptoms
维普
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