普米克令舒氧气驱动雾化治疗儿童支气管肺炎6例临床疗效观察.docVIP

普米克令舒氧气驱动雾化治疗儿童支气管肺炎60例临床疗效观察 　　[摘要] 目的 探讨普米克令舒治疗小儿支气管肺炎的疗效。 方法 选择本院支气管肺炎患儿120例，随机分为两组，治疗组60例，对照组60例；两组患者均采用抗感染、抗病毒，吸氧，止咳祛痰等基础性治疗。治疗组加用普米克令舒雾化吸入，对照组加用地塞米松雾化治疗，对比两组患儿治疗后症状、体征消失时间以及治愈率，住院时间情况等。 结果 治疗组治愈率明显提高，哮鸣音、湿性??音、咳嗽症状消失，住院时间明显缩短，疗效明显优于对照组（P中国论文网 /6/viewhtm　　[关键词] 儿童支气管肺炎；普米克令舒；雾化治疗；支气管肺炎 　　[中图分类号] R562.2 [文献标识码] B [文章编号] 1673-9701（2017）27-0062-03 　　Observation on the clinical efficacy of pulmicort oxygen-driven atomization in the treatment of 60 cases of pediatric bronchial pneumonia 　　CAO Jun 　　Department of Paediatrics， Jingdezhen Second Peoples Hospital in Jiangxi Province， Jingdezhen 333000， China 　　[Abstract] Objective To evaluate and investigate the efficacy of Pulmicort in the treatment of pediatric bronchial pneumonia. Methods 120 children with bronchial pneumonia who were hospitalized in Jingdezhen Second Peoples Hospital were selected and randomLy divided into two groups， with treatment group of 60 cases and control group of 60 cases，two groups of patients were given anti-infection， anti-virus， oxygen uptake， cough suppression and expectoration and other basic treatment. The treatment group was further given atomization of Pulmicort， and the control group was further given atomization of dexamethasone. The symptoms， disappearance time of physical signs， cure rate， length of hospital stay after the treatment were compared between the two groups. Results The cure rate in the treatment group was significantly improved. Wheezing time， time of wet rales， disappearance time of cough symptoms and length of hospital stay were significantly shorter. The curative effect was significantly better than that in the control group（P 　　1 资料与方法 　　1.1 一般资料 　　选择本院儿科住院部2015年1月～2017年1月收治支气管肺炎患儿120例，年龄2个月～6岁，其中女52例，男68例，病程1～15 d，全部病例均符合第7版《诸福堂实用儿科学》[1]和《临床诊疗指南，小儿内科学分册》[2]及《儿科学》第8版[3]教材中的《儿童支气管肺炎》的诊断标准，所有患者均无肺不张，肺大泡，心力衰竭，呼吸衰竭等并发症，并且排除先天性心脏病、肺结核及支气管异物等疾病；临床特征：入院时均有发热，阵发性咳嗽、气促、双肺闻及哮鸣音及湿??音，胸片示双肺见点片状密度影，少部分患者有不同程度的肺气肿。入选患者随机分为两组，对照组和治疗组各60例，两组在性别、年龄、病程等方面差异无显著性（P0.05）