摘要
目的:探讨3%高渗盐水联合普米克令舒氧气雾化吸入治疗毛细支气管炎的疗效。方法:将58例毛细支气管炎住院患儿随机分为治疗组与对照组,治疗组32例,对照组26例。全部病例均给予改善通气、氧疗、抗感染、化痰、止咳、镇静、吸入硫酸沙丁胺醇平喘、纠正水电解质酸碱失衡等常规综合治疗,对照组加用盐酸氨溴索联合地塞米松雾化吸入,治疗组给予3%高渗盐水联合普米克令舒氧气雾化吸入,观察两组临床症状:喘憋、气促、发热、咳嗽、肺部体征持续时间、住院时间及不良反应。结果:治疗组临床症状、肺部体征持续时间、住院时间明显短于对照组,差异有统计学意义(P<0.01),总有效率明显高于对照组,差异有统计学意义(χ2=6.37,P<0.05)。结论:3%高渗盐水联合普米克令舒雾化吸入治疗毛细支气管炎,疗效确切,能有效控制毛细支气管炎症状及体征,缩短病程,提高治愈率,治疗安全、有效、操作简便。
Objective To investigate 3% hypertonic saline combined with Pulmicort oxygen atomization inhalation on bronchiolitis.Methods 58 eases of bronchiolitis hospitalized children were randomly divided into treatment and control group two,32 cases in treatment group,26 cases in the control group.All patients were given to improve ventilation,oxygen therapy, anti-infection,expectorant, antitussive,antiasthmatic,sedatio n,inhalation of salbutamol sulfate correction routine comprehensive treatment of water and electrolyte acid-base imbalance,the control group were treated with ambroxol hydrochloride combined with dexamethasone inhalation,3% hypertonie saline combined with Pulmicort oxygen atomization inhalation treatment group,clinical symptoms two group：wheezing,shortness of breath,fever, cough,pulmonary symptoms,duration of hospitalization time and adverse reaction.Results In the treatment group,clinical symptoms,physical signs of the lungs,the duration of hospital stay was shorter than the control group,the difference was statistically significant（P 〈 0.01）,total efficiency is significantly higher than that in the control group,the difference was statistically significant（ X^ 2=6.37,P 〈 0.05）.Conclusion 3% hypertonic saline combined with Pulmieort in treatment of bronchiolitis,curative effect,can effectively control the capillary bronchitis symptoms and signs,shorten the course of disease,improve the cure rate,treatment is safe,effective,simple operation.
出处
《吉林医学》
CAS
2013年第18期3529-3530,共2页
Jilin Medical Journal
