中医护理干预小儿反复呼吸道感染随机平行对照研究

目的]观察中医护理干预小儿反复呼吸道感染疗效。方法]使用随机平行对照方法,将90例住院患者按抽签法分为两组。对照组45例常规治疗。干预组45例中医护理干预1针灸护理,取穴门、肝、胆、脾、胃、心、肾等穴位,动作轻巧,按压适中;2雀啄灸,点燃艾条,在施灸部位连续如鸟雀啄食反复旋转或左右方向移动5min;3按摩护理,患儿取仰卧体位,分别对内关、神门按揉3min,之后患儿取俯卧体位,采用掌揉法放松背部,自上而下反复进行3min,按揉心俞3min;手法以轻快柔和为主,轻重交替;4银花连翘方(银花、连翘、黄芩、牛蒡子、瓜蒌、薄荷、陈皮、浙贝母、桑白皮各6g,板蓝根10g,甘草3g,紫花地丁8g),1剂/d,水煎150mL,早晚口服。5情志护理。连续干预5d为1疗程。观测临床症状、护理满意度、不良反应。连续干预3疗程,判定疗效。结果]干预组显效30例,有效12例,无效3例,总有效率93.33%。对照组显效26例,有效6例,无效13例,总有效率71.11%。干预组疗效优于对照组(P0.05)。护理满意度干预组优于对照组(P0.05)。结论]中医护理干预小儿反复呼吸道感染效果显著,值得推广。

TCM Nursing Intervention Randomized Parallel-group Study in Children with Recurrent Respiratory Tract Infections

Objective ] To observe the traditional Chinese medicine nursing intervention efficacy in children with recurrent respiratory infections. Methods ] Random parallel control method, 90 cases of hospitalized patients were divided into two groups by drawing lots. The control group 45 cases of conventional treatment methods. The intervention group, 45 cases of Chinese medicine nursing intervention,（1） acupuncture treatments, acupoints door, liver, gall bladder, spleen, stomach, heart, kidney and other points, the action orifices, pressing moderate; （2） moxibustion, using bird pecking moxibustion, moxa lit end distance moxihustion site is not fixed, such as birds pecking repeatedly rotated left or right to move, keeping regular 5min; （3） massage treatments, patients in supine position, respectively internal clearance, door rubbing God 3min, children prone position after using palm rubbing method relax the back, top to bottom repeatedly 3min, rubbing Xinyu 3min;based approach to soft light, heavy and light ahemately; （4） honeysuckle forsythia party （ Yinhua, Lianqiao, Huangqin, Niubangzi, Gualou, Bohe, Chenpi, Zhebeimu, Sangbaipi each 6g, Banlangen 10g, Gancao 3g, Zihuadiding 8g）, 1 does/d, decoction 150mL, sooner or later orally. （5） emotional care. Continuous intervention 5d course of treatment. Observation of clinical symptoms, nursing satisfaction, adverse reactions. 3 courses of continuous intervention to determine efficacy. Results ] in the intervention group 30 cases markedly effective in 12 cases, 3 cases, the total efficiency of 93.33%. The control group 26 cases markedly effective in 6 cases, 13 cases, the total efficiency of71.11%. The efficacy of the intervention group than the control group （ P〈0.05 ） . Nursing satisfaction in the intervention group than the control group （ P〈0.05 ） . Conclusion ] TCM nursing intervention in children with recurrent respiratory infection effect is significant, it is worth promoting.