Huang Yilin, Bo Yali
Department of Pediatrics, Shulan (Hangzhou) Hospital Affiliated to Zhejiang Shuren University Shulan International Medical College, Hangzhou, Zhejiang 310022, China.
Afr J Reprod Health. 2025 Apr 23;29(4):142-149. doi: 10.29063/ajrh2025/v29i4.13.
This was a research study, mainly explored the effect of an airway clearance technique (ACT) in treating children with severe pneumonia. One hundred children with severe pneumonia who accepted therapy in Shulan (Hangzhou) Hospital Affiliated to Zhejiang Shuren University Shulan International Medical College from January 2023 to January 2024 were selected and randomly divided into a control group and observation group. The control group accepted anti-inflammatory, cough, phlegm and asthma treatment, while the observation group accepted ACT therapy including anti-inflammatory, cough, phlegm, and asthma treatment. As compared to the control group, the observation group presented better total effective rate, shorter cough and sputum relief time, defervescence time, length of hospital stay, lung rale and disappeareance time, and lung shadow disappearance time. The observation group also had higher peak expiratory flow (PEF), forced expiratory volume in 1 second (FEV1) and forced vital capacity (FVC) levels, higher cough reflex, secretion viscosity and secretion volume scores, higher arterial oxygen pressure (PaO2) and arterial oxygen saturation (SaO2) levels as well as lower levels of inflammatory markers. We conclude that, the clinical efficacy of ACT for treatment of children with severe pneumonia is remarkable, which can improve related symptoms, improve lung function and blood gas indices, repress inflammation, and promote airway recovery..
这是一项研究,主要探讨一种气道廓清技术(ACT)在治疗儿童重症肺炎中的效果。选取2023年1月至2024年1月在浙江树人大学树兰国际医学院附属杭州树兰医院接受治疗的100例重症肺炎患儿,随机分为对照组和观察组。对照组接受抗炎、止咳、化痰、平喘治疗,观察组在接受抗炎、止咳、化痰、平喘治疗的基础上接受ACT治疗。与对照组相比,观察组总有效率更高,咳嗽咳痰缓解时间、退热时间、住院时间、肺部啰音消失时间及肺阴影消失时间更短。观察组呼气峰值流速(PEF)、第1秒用力呼气容积(FEV1)和用力肺活量(FVC)水平更高,咳嗽反射、分泌物黏稠度及分泌量评分更高,动脉血氧分压(PaO2)和动脉血氧饱和度(SaO2)水平更高,炎症指标水平更低。我们得出结论,ACT治疗儿童重症肺炎的临床疗效显著,可改善相关症状,改善肺功能和血气指标,抑制炎症,促进气道恢复。