空气压缩泵吸入及超声波雾化吸入治疗毛细支气管炎疗效观察.docVIP

空气压缩泵吸入及超声波雾化吸入治疗毛细支气管炎疗效观察 　【摘要】 目的：探讨比较空气压缩泵吸入与超声波雾化吸入对小儿毛细支气管炎的治疗作用。方法：120例毛细支气管炎患儿被随机分为治疗组与对照组,各60例,两组均给予抗感染等常规治疗,同时,治疗组患者用空气压缩泵雾化吸入沙丁胺醇加布地奈德、异丙托溴铵;对照组用同种药物以超声雾化吸入器吸入治疗,观察病情变化。结果：治疗组加用空气压缩泵雾化吸入治疗效果更好,与对照组超声波雾化吸入比较疗效差异有统计学意义(Plt;0.01)。结论：在常规治疗基础使用空气压缩泵比超声雾化吸入治疗毛细支气管炎更有效。 【关键词】 空气压缩泵；超声波雾化；毛细支气管炎 　　The Therapeutic Effect Observation of Air Compressor Pump Inspiration and Ultrasound Atomization on Bronchiolitis Abstract ：Objective To explore the clincal effects of air compressor pump inspiration and ultrasound atomization on children bronchiolitis. Methods 120 children who had bronchiolitis were divided into treatment group and control group at random, with 60 children in each group. All groups underwent the antiinfection and other routine treatments. Meanwhile, the children in treatment group inhalated salbutamol, budesonide and ipratropium bromide with the accessory measure of compression aerosol, while children in control group inhalated the same drugs with the ultrasound atomization. The changes of patients? condition were observed. Results The clinical results were better in the treatment group and had significant differece compared with the control group(Plt;0.01). Conclusion Based on routine treatments, it?s more effective to treat bronchiolitis with air compressor pump inspiration than with ultrasound atomization. Key words： Air compressor pump; Ultrasound atomization; Bronchiolitis 毛细支气管炎是婴幼儿期常见的呼吸道疾病，多见2岁以下婴幼儿，尤其为1个月～6个月婴儿，病原体多为呼吸道合胞病毒，以咳嗽、喘憋、微发热或不发热、呼吸急促、鼻翼扇动、发绀、三凹征明显，听诊有哮鸣音及细湿啰音等为临床表现，严重者易并发心力衰竭、呼吸衰竭等。我科2002年10月至2005年10月对120例毛细支气炎患儿在吸氧、抗炎、纠正酸中毒、镇静及激素等综合治疗的基础上,观察比较空气压缩泵吸入与超声波雾化吸入对小儿毛细支气管炎的治疗效果,现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　120例患儿均为住院患儿，按《实用儿科学》第6版诊断标准符合毛细支气管炎诊断标准［1］,随机分为治疗组60例,其中男32例,女28例;年龄4个月～2岁,平均7个月。对照组60例,男27例,女33例;年龄4个月～2岁,平均7个月。120例均患有不同程度地发热、咳嗽、气喘及肺部啰音；两组年龄病情差异无显著性,有可比性。 　　1.2 方法 　　治疗组在吸氧、抗炎、纠正酸中毒、镇静及激素等常规治疗的基础上给予沙丁胺醇1.25 mg, 布地奈德0.5 mg, 异丙托溴铵250 μg,加生理盐水至3 ml以空气压缩泵进行雾化吸入,每次10 min左右,3次/d,连用3 d～10 d。对照组用同种药物以超声雾化吸入器吸入治疗,每天由专人观察病情变化并记录。 　　1.3