The application effect of pediatric chest physical therapy in mechanically ventilated children with severe pneumonia
小儿胸部物理治疗在机械通气重症肺炎患儿中的应用效果

摘要

目的 本文重点分析机械通气重症肺炎患儿经小儿胸部物理治疗的临床效果，并探讨其应用价值。方法 纳入100例2022年2月至2023年1月期间在我院接受机械通气的重症肺炎患儿作为研究对象。研究开展后将患儿均分成两组，研究组采用胸部物理治疗联合常规抗感染、化痰治疗（50例），参照组患儿仅接受常规抗感染、化痰治疗（50例），观察两组患儿治疗情况，并列举研究数据组间比对。结果 观察两组研究数据，排痰前两组患儿血气指标各项对比无明显差异（P>0.05）；排痰后，PH、PaO2、PaCO2各项指标，两组差异明显，并以研究组数据具有优势性（P＜0.05）。治疗有效率方面，总有效率研究组48（96.00%）高于参照组41（82.00%）（P＜0.05）。患儿拔管后呼吸频率改善时间、胸部×线好转时间、血氧饱和度改善时间、肺部听诊改善时间、住院时间各项指标用时均研究组较短，参照组较长（P＜0.05）。结论 小儿胸部物理治疗在机械通气重症肺炎患儿中的应用效果显著，有助于提升临床治疗有效率，优化患儿血气指标，同时缩短临床治疗时间，更利于患儿预后，促使其尽早出院，临床存在较高的可行性及安全性，建议推广应用。

Abstract

Objective To analyze the clinical effect of mechanical ventilation in children with severe pneumonia through pediatric chest physical therapy, and to explore its application value.
Methods 100 children with severe pneumonia who received mechanical ventilation in our hospital from February 2022 to January 2023 were included as subjects. After the study was carried out, the children were divided into two groups. The study group received chest physical therapy combined with conventional anti-infection and anti-sputum therapy (50 cases), while the reference group only received conventional anti-infection and anti-sputum therapy (50 cases). The treatment situation of the children in the two groups was observed, and the comparison between the research data groups was listed.
Results There was no significant difference in blood gas indexes between the two groups before sputum expulsion (P>0.05). After sputum expulsion, the indexes of PH, PaO2 and PaCO2 were significantly different between the two groups, and the data of the study group was dominant (P < 0.05). The total effective rate of the study group was 48 (96.00%) higher than that of the control group 41 (82.00%) (P < 0.05). The improvement time of respiratory rate, chest × line improvement time, blood oxygen saturation improvement time, pulmonary auscultation improvement time and hospital stay of children after extubation were shorter in the study group and longer in the reference group (P < 0.05).
Conclusion   The application effect of pediatric chest physical therapy in children with mechanical ventilation severe pneumonia is significant, which helps to improve the clinical treatment efficiency, optimize the blood gas index of children, shorten the clinical treatment time, more conducive to the prognosis of children, promote their early discharge, clinical feasibility and safety is high, it is recommended to popularize the application.