医院前环境中的急性儿科喘治疗:一项回顾性观察性研究
Simon Craig1,2, Belinda Delardes3,4, Ziad Nehme5,6
1Paediatric Emergency Department, Monash Medical Centre Clayton, Clayton, Victoria, Australia simon.craig@monash.edu.
BMJ open
|June 22, 2023
概括
只有少数患有喘的儿童从救护人员那里获得了升级的医院前护理,例如上腺素. 大多数儿童喘患者在入院前使用标准的吸入支气管扩展剂得到改善.
科学领域:
- 儿科急救医学 儿科急救医学
- 医院前护理研究 医院前护理研究
- 呼吸系统疾病 呼吸系统疾病
背景情况:
- 喘恶化是儿童紧急护理的常见原因.
- 医院前治疗旨在在医院转移之前使患者稳定.
- 有时需要超越标准治疗的升级护理.
研究的目的:
- 确定接受医院前治疗的喘儿童升级护理的发生率和模式.
- 为了确定与儿童喘患者升级护理相关的因素.
主要方法:
- 使用全州救护车服务数据进行的回顾性观察研究.
- 包括被诊断患有喘或用吸入式支气管扩展剂治疗的1至17岁儿童.
- 定义升级护理为对肠道上腺素或呼吸系统支持.
主要成果:
- 护理人员为1572名儿童治疗了喘恶化;1.4%的儿童接受了升级护理 (肠道上腺素).
- 升级护理患者年龄较大,先前曾因喘住院治疗,并患有严重的呼吸困扰.
- 总体而言,87.4%的儿童在抵达医院时显示呼吸状况有所改善.
结论:
- 大多数患有急性喘恶化症的儿童不需要升级的医院前治疗.
- 用吸入式支气管扩展剂进行标准的医院前治疗对许多儿科喘患者是有效的.
- 在接受治疗的儿童到达医院后,呼吸状况的改善是常见的.
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