气溶胶盐疗在支气管哮喘治疗中的作用(精选).docVIP

气溶胶盐疗在支气管哮喘治疗中的作用 陈晓红 阮 琰 陈智铨 摘要：〔目的〕 气溶胶盐疗（简称盐疗）是由一种古老的洞穴法发展而来的非药物疗法。我们通过观察气溶胶盐疗对一组支气管哮喘患者的治疗，探讨其在支气管哮喘治疗中的作用。〔方法〕选择明确诊断为支气管哮喘急性发作期的患者73例，随机分为盐疗组和对照组，其中盐疗组37例，年龄5-67岁，对照组36例，年龄5-65岁。对照组给予吸入普米克气雾剂和喘乐宁气雾剂，必要时给予口服甚至静脉用糖皮质激素和氨茶碱，盐疗组在此治疗基础上加气溶胶盐疗治疗，每日1小时，每20天为一疗程，起初连续做两疗程，半年后巩固治疗一疗程。〔结果〕 显示，两组在治疗l周始FEVI％、PEF即有显著提高（P均 0.01），盐疗组在各个时期均显著高于对照组（P o.01）。两组PEF昼夜变异率在第一周起即较治疗前显著下降，盐疗组下降较对照组显著，（P 0.01），并延续至第二周，1个月后两组仍较治疗前改善，但两组无显著差异。生命质量评分显示盐疗组在治疗后个时期均显著高于对照组（P 0.01）症状改善快而持久，复发少，活动受限制和心理负担显著减轻。在患者症状和休征消失、肺功能恢复正常及停药后病情不复发的前提下逐步停药情况显示，盐疗组较对照组减药时间早，减药速度快，停药早而复发少。〔结论〕 气溶胶盐疗有消炎、灭菌、稀释痰液、廓清呼吸道、增加免疫细胞功能、提高机体抵抗力，重新调节体内激素水平，修复支气管粘膜等作用。对支气管哮喘患者有解痉、止喘、改善肺功能并长期维持、减轻症状、改善睡眠、维持正常活动水平、提高生活质量的作用，同时可以减少药物用量，缩短用药时间，减少副作用和复发，减轻患者经济负担，治疗中无任何不适反应、无毒副作用、顺应性强，患者、尤其是儿童患者容易接受有效率高，是一种值得推广的辅助疗法。 Appliction of Inhahtherapy of aetosol saline in the treatment of astllma Key words inhaletherapy asthma Abstract objective to discuss the efficacy of Inhaletherapy of aerosol saoine in the treatment of asthma．Method 73 case of asthma patients were randomly divided into atudy group （n 37） and control one （n 36）．Control gtoup inhaled Budesomde and Salbutamol，or combined with oral orintravenous glucocrticosteroids and aminophyllin，study group receivedthe Same treatment as the control one and combined with Inhaletherapy of aerlsol saline，one hour a day for 20 continues days as one treatnent period．study group was given Two periods at the firsttime，and another one period at half an years lster．Lung function，life qualifies assess and state about using medicine had been observed．Result FEVl％，PEF and PEF variability were improved obviously begin from the first week（P 0.01），The study group was improved better than the control one in every period（P 0.01）．the improvement inlife quality assess grade in study group is higher than that in the control one （P 0.01） in every period．Conclusions Inhaletherapy of aerosol saline has high effective rate in the treatment of asthrna．It can reduce the mdeicine dosage，shorten the time an