层流无菌床在治疗毛细支气管炎中的应用研究

目的 研究层流无菌床在治疗毛细支气管炎患儿中的作用,为毛细支气管炎患儿复康提供有效新途径。方法 采用列表研究方法,选择2016年11月至2017年5月在我科住院,小于6月龄毛细支气管炎患儿 146人,随机分为干预组78例和对照组68例,两组患儿均进行常规治疗,对两组患儿在性别、年龄、医院感染发生率、抗生素使用率、药占比、住院天数、住院费用等方面进行比较。结果 两组患儿年龄和性别无统计学意义;两组患儿感染发病率比较,干预组明显低于对照组,(χ²=6.37,P＜0.05)差异有统计学意义;干预组抗生素使用率(χ²=11.48,P＜0.05)、药占比(χ²=9.52,P＜0.05)、住院天数(Z=6.58,P＜0.05)、住院费用(Z= 5.96,P＜0.05)等均显著低于对照组。结论 层流无菌床能有效预防毛细支气管炎患儿的医院感染,降低抗生素使用率、药占比,缩短住院天数,降低住院费用。

Application of laminar sterile bed in the treatment of capillary bronchiolitis

Objective To study the role of laminar sterile bed in the treatment of children with capillary bronchitis,and provide effective new approaches for children with capillary bronchitis.Methods With the list approach,146 children of bronchitis under 6 months old in my department from November 2016 to May 2017 were selected and andomly divided into the intervention group 78 cases and the control group 66 cases.Both groups of children received conventional treatment,Sex,age,hospital infection rate,antibiotic usage rate,medicine proportion,hospitalization days and hospitalization expenses of the two groups were compared.Results The differences of age and gender of the two groups were not statistically significant.The incidence of hospital infection of the intervention group was significantly lower than that of the control group,and the difference(χ²=6.37,P＜0.05) was statistically significant.The antibiotic usage (χ²=11.48 P＜0.05), medicine proportion (χ²=9.52,P＜0.05),hospitalization days (Z=6.58 ,P＜0.05),and the hospitalization expenses (Z=5.96,P＜0.05) of the intervention group were significantly lower than those of the control group.Conclusion Laminar sterile bed can effectively prevent hospital infection of capillary bronchitis, reduce the antibiotic usage and medicine proportion,shorten the hospitalization days and reduce the hospitalization expenses.