三联雾化吸入对婴幼儿喘憋性肺炎疗效分析.docVIP

三联雾化吸入对婴幼儿喘憋性肺炎的疗效分析 　　【摘要】 目的 普米克令舒、博利康尼、爱全乐联合雾化治疗婴幼儿喘憋性肺炎的疗效分析。方法 　　将48例喘憋性肺炎的婴幼儿随机分为两组，对照组23例，采用抗感染、对症等综合治疗；观察组25例，在对照组基础上加用普米克令舒、博利康尼雾化溶液及爱全乐雾化溶液联合雾化治疗。比较两组疗效及症状、体征消失时间。结果 观察组有效率92．00%及显效率72%均高于对照组的65．22%、39．13%，P<0．05。观察组喘息缓解、哮鸣音消失、?音消失及咳嗽消失时间均优于对照组，P<0．05。结论 联合雾化吸入普米克令舒、博利康尼雾化溶液及爱全乐雾化溶液明显提高婴幼儿喘憋性肺炎的疗效，而且起效迅速、安全方便。? 　　【关键词】喘憋性肺炎；布地奈德；硫酸特布他林；溴化异丙托品；雾化吸入 　　 　　Analyses of the curative effect in infant bronchiolitis by atomizing inhalations of pulmicort respules and bricanyl and atrovent 　　 　　LAN Shu-ling,ZHONG Guo-yu,ZHENG Ju-Ying，et al.The First Affiliated Hospital of Guangzhou Medical College， Guangzhou 510120， P.R.China 　　? 　　【Abstract】 Objective To study the curative effect of bronchiolitis of infant by atomizing inhalations of pumicort respules and bricanyl and atrovent.Methods 48 bronchiolitis children were divided into study group and control group at random.There were 23 cases in control group which were combined modality therapy.There were 25 cases in study group at the same conditions and in which the inhalations of pulmicort respules and bricanyl and artovent were atomized.The effect and extinction time of symptoms and physical signs were observed.Conclusion The study group were showed to be significantly improved in effective rate(P<0．05).The duration of gasping，cough， wheezing and rales in lungs in the study group was obviously shorterned than that in the control group(P<0．05).Conclusion The effectiveness of atomizing inhalations of pulmicort respules and bricanyl and atrovent in infant bronchiolitis is evident.And the therapeutic method is prompt safe and convenient.? 　　【Key words】Asthmatic suffocating pneumonia; Budesonide;Terbutaline sulphate; Ipratropium bromide;Atomizing inhalation 　　 　　小儿喘憋性肺炎是婴幼儿最常见的急性下呼吸道感染性疾病之一，绝大多数是由呼吸道合胞病毒(RSV)感染引起，致毛细支气管上皮细胞坏死和周围淋巴细胞浸润，黏膜充血、水肿和腺体增生，黏液分泌增多，毛细支气管腔狭窄，甚至堵塞，导致肺气肿和肺不张，出现通气和换气障碍。笔者应用普米克令舒、博利康尼溶液、爱喘乐溶液三联压缩泵雾化吸入治疗25例婴幼儿喘憋性肺炎，疗效显著，报道如下。 　　 　　1 资料与方法 　　 　　1．1 一般资料 全部病例均选自本院2007年10月至2008年4月门诊及住院治疗婴幼儿喘