{"title":"改良体位引流治疗婴儿喘息性支气管炎分泌物清除的临床研究。","authors":"P Li","doi":"10.4103/njcp.njcp_812_24","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Wheezing bronchitis is common in infants and can lead to complications if not properly managed. Postural drainage is a standard technique for secretion clearance, but the optimal protocol remains debated.</p><p><strong>Aims: </strong>This study aims to assess the clinical efficacy and safety of a modified postural drainage nursing protocol for secretion clearance in infants with wheezing bronchitis.</p><p><strong>Methods: </strong>This prospective study included 104 infants (six months to three years) hospitalized with wheezing bronchitis between January 2023 and May 2024. Participants were randomly divided into two groups: observation (N = 52, modified protocol) and control (N = 52, conventional protocol). The modified protocol optimized drainage frequency, standardized position transitions, regulated rest periods, and included respiratory training. Key outcomes included the Modified Respiratory Sound Score (MRSS), symptom resolution, radiological improvements, and hospital stay duration.</p><p><strong>Results: </strong>On Day four, MRSSs were significantly lower in the observation group (2.2 ± 0.4) compared to the control group (3.5 ± 0.5, P < 0.001). Rhonchi, wheezing, and cough resolved more quickly in the observation group (P < 0.001 for all). Chest X-ray absorption rates were higher (88.5% vs. 80.8%, P = 0.035), and hospital stays were shorter (6.5 ± 1.2 vs. 8.5 ± 1.5 days, P < 0.001). Adverse event rates were similar (21.2% vs. 25.0%, P = 0.641).</p><p><strong>Conclusion: </strong>The modified protocol significantly improved secretion clearance, accelerated symptom resolution, and reduced hospital stays without compromising safety in infants with wheezing bronchitis.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"28 4","pages":"552-560"},"PeriodicalIF":0.7000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Clinical Research on Modified Postural Drainage for Secretion Clearance in Infants with Wheezing Bronchitis.\",\"authors\":\"P Li\",\"doi\":\"10.4103/njcp.njcp_812_24\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Wheezing bronchitis is common in infants and can lead to complications if not properly managed. Postural drainage is a standard technique for secretion clearance, but the optimal protocol remains debated.</p><p><strong>Aims: </strong>This study aims to assess the clinical efficacy and safety of a modified postural drainage nursing protocol for secretion clearance in infants with wheezing bronchitis.</p><p><strong>Methods: </strong>This prospective study included 104 infants (six months to three years) hospitalized with wheezing bronchitis between January 2023 and May 2024. Participants were randomly divided into two groups: observation (N = 52, modified protocol) and control (N = 52, conventional protocol). The modified protocol optimized drainage frequency, standardized position transitions, regulated rest periods, and included respiratory training. Key outcomes included the Modified Respiratory Sound Score (MRSS), symptom resolution, radiological improvements, and hospital stay duration.</p><p><strong>Results: </strong>On Day four, MRSSs were significantly lower in the observation group (2.2 ± 0.4) compared to the control group (3.5 ± 0.5, P < 0.001). Rhonchi, wheezing, and cough resolved more quickly in the observation group (P < 0.001 for all). Chest X-ray absorption rates were higher (88.5% vs. 80.8%, P = 0.035), and hospital stays were shorter (6.5 ± 1.2 vs. 8.5 ± 1.5 days, P < 0.001). Adverse event rates were similar (21.2% vs. 25.0%, P = 0.641).</p><p><strong>Conclusion: </strong>The modified protocol significantly improved secretion clearance, accelerated symptom resolution, and reduced hospital stays without compromising safety in infants with wheezing bronchitis.</p>\",\"PeriodicalId\":19431,\"journal\":{\"name\":\"Nigerian Journal of Clinical Practice\",\"volume\":\"28 4\",\"pages\":\"552-560\"},\"PeriodicalIF\":0.7000,\"publicationDate\":\"2025-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Nigerian Journal of Clinical Practice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.4103/njcp.njcp_812_24\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/4/26 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nigerian Journal of Clinical Practice","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.4103/njcp.njcp_812_24","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/4/26 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
摘要
背景:喘息性支气管炎在婴儿中很常见,如果处理不当可导致并发症。体位引流是清除分泌物的标准技术,但最佳方案仍有争议。目的:本研究旨在评估一种改良体位引流护理方案对喘息性支气管炎患儿分泌物清除的临床疗效和安全性。方法:这项前瞻性研究纳入了2023年1月至2024年5月期间因喘息性支气管炎住院的104名婴儿(6个月至3岁)。参与者随机分为观察组(N = 52,修改方案)和对照组(N = 52,常规方案)。修改后的方案优化引流频率,标准化体位转换,调节休息时间,并包括呼吸训练。主要结局包括改良呼吸声音评分(MRSS)、症状缓解、放射学改善和住院时间。结果:第4天,观察组患者mrss(2.2±0.4)明显低于对照组(3.5±0.5,P < 0.001)。观察组的哮鸣、喘息、咳嗽症状缓解较快(P < 0.001)。胸部x线吸收率较高(88.5%比80.8%,P = 0.035),住院时间较短(6.5±1.2比8.5±1.5 d, P < 0.001)。不良事件发生率相似(21.2% vs. 25.0%, P = 0.641)。结论:改进后的方案显著改善了婴儿喘息性支气管炎的分泌物清除,加速了症状的缓解,缩短了住院时间,而不影响安全性。
Clinical Research on Modified Postural Drainage for Secretion Clearance in Infants with Wheezing Bronchitis.
Background: Wheezing bronchitis is common in infants and can lead to complications if not properly managed. Postural drainage is a standard technique for secretion clearance, but the optimal protocol remains debated.
Aims: This study aims to assess the clinical efficacy and safety of a modified postural drainage nursing protocol for secretion clearance in infants with wheezing bronchitis.
Methods: This prospective study included 104 infants (six months to three years) hospitalized with wheezing bronchitis between January 2023 and May 2024. Participants were randomly divided into two groups: observation (N = 52, modified protocol) and control (N = 52, conventional protocol). The modified protocol optimized drainage frequency, standardized position transitions, regulated rest periods, and included respiratory training. Key outcomes included the Modified Respiratory Sound Score (MRSS), symptom resolution, radiological improvements, and hospital stay duration.
Results: On Day four, MRSSs were significantly lower in the observation group (2.2 ± 0.4) compared to the control group (3.5 ± 0.5, P < 0.001). Rhonchi, wheezing, and cough resolved more quickly in the observation group (P < 0.001 for all). Chest X-ray absorption rates were higher (88.5% vs. 80.8%, P = 0.035), and hospital stays were shorter (6.5 ± 1.2 vs. 8.5 ± 1.5 days, P < 0.001). Adverse event rates were similar (21.2% vs. 25.0%, P = 0.641).
Conclusion: The modified protocol significantly improved secretion clearance, accelerated symptom resolution, and reduced hospital stays without compromising safety in infants with wheezing bronchitis.
期刊介绍:
The Nigerian Journal of Clinical Practice is a Monthly peer-reviewed international journal published by the Medical and Dental Consultants’ Association of Nigeria. The journal’s full text is available online at www.njcponline.com. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles on any OAI-compliant institutional / subject-based repository. The journal makes a token charge for submission, processing and publication of manuscripts including color reproduction of photographs.