酚妥拉明联合小剂量多巴胺治疗小儿肺炎效果剖析.docVIP

酚妥拉明联合小剂量多巴胺治疗小儿肺炎效果剖析 　　【摘要】 目的：分析酚妥拉明联合小剂量多巴胺治疗小儿肺炎的效果。方法：选取2015年4月-2017年4月笔者所在医院收治的94例小儿肺炎患儿，其中给予常规治疗的47例患儿归为对照组，另47例患儿在常规治疗的基础上加用酚妥拉明和小剂量多巴胺归为观察组，比较两组疗效。结果：观察组与对照组治疗总有效率分别为91.5%、61.7%，差异有统计学意义（字2=13.868，P0.05）。结论：酚妥拉明联合小剂量多巴胺治疗小儿肺炎效果肯定，可有效改善患儿临床症状，且不良反应少，安全可靠，值得推广应用。 　　【关键词】 酚妥拉明； 多巴胺； 小儿肺炎 　　doi：10.14033/j.cnki.cfmr.2018.1.009 文献标识码 B 文章编号 1674-6805（2018）01-0018-03 　　Analysis of Curative Effect of Phentolamine Combined with Small Dose Dopamine in the Treatment of Pediatric Pneumonia/MAN Suzhen.//Chinese and Foreign Medical Research，2018，16（1）：18-20 　　【Abstract】 Objective：To analyze the efficacy of Phentolamine combined with small dose Dopamine in the treatment of pediatric pneumonia.Method：From April 2015 to April 2017，94 cases of pediatric pneumonia patients in the author’s hospital were selected，47 cases who received routine treatment were divided as control group，the other 47 cases on the basis of conventional treatment combined with Phentolamine and small dose of Dopamine were divided as observation group，the curative effect between the two groups were compared.Result：The total effective rate of the observation group was 91.5%，and the control group was 61.7%，the difference was statistically significant（字2=13.868，P0.05）.Conclusion：The curative effect of Phentolamine in combination with small dose of Dopamine in the treatment of pediatric pneumonia is obvious，can effectively improve the clinical symptoms，and with less adverse reaction，safe and reliable，and is worthy of popularization and application. 　　【Key words】 Phentolamine； Dopamine； Pediatric pneumonia 　　First-author’s address：Jianshui County People’s Hospital， Jianshui 654399，China 　　小?悍窝资且恢殖＜?的儿科呼吸系统疾病，发病率较高，是导致5岁以下小儿死亡的主要原因。肺炎的发病与呼吸道上皮细胞吸附、病原体直接侵入、免疫功能紊乱等有关，其中可引起肺炎的病原体包括细菌、肺炎支原体、病毒，细菌性肺炎占绝大部分[1]。患儿肺组织的病理变化主要为充血、水肿及炎性浸润，临床多表现为发热、咳嗽、气促、呼吸困难、肺部??音等症状、体征，小儿肺炎起病急、病情危重，病情进展迅速，对患儿机体损伤较大，常合并心力衰竭、呼吸衰竭等并发症[2]，因此，及时有效的治疗对于改善患儿预后十分重要。本文将以笔者所在医院收治的94例小儿肺炎患儿为研究对象，分析采用酚妥拉明联合小剂量多巴胺治疗的效果，现报道如下。 　　1 资料与方法