超声雾化吸入在小儿支气管肺炎中的治疗体会(1)
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【摘要】目的 探讨超声雾化吸入在小儿支气管肺炎中的应用疗效。方法 回顾分析我院94例患儿的临床资料。结果 治疗组68例中显效484例，有效16例，无效4例，总有效率为94.11% ；对照组显效28例，有效17例，无效27例，总有效率为69.64%。治疗组总有效率明显高于对照组。结论 采用布地奈德和氨溴索雾化吸入治疗小儿支气管肺炎，能迅速缓解、改善呼吸道症状，缩短病程，具有局部药物浓度高，吸入时间短，不良反应少，疗效确切患儿及家长容易接受等优点，值得临床推广使用。
【关键词】超声雾化吸人；支气管肺炎；小儿；
Application ultrasonic atomizing inhalation in the treatment of infants with bronchiolitis
ShiYan
(Department of pediatrics, Chinese medicine hospital of xishui county, Hubei Province, China 438200)
【Abstract】 Objective The objective of this study was to determine the efficacy of ultrasonic atomizing inhalation in the treatment of mild to moderate bronchiolitis. Methods In a randomized controlled trial, 94 infants with mild to moderate bronchiolitis were divided into two groups. Retrospective Analysis of Clinical Data from these groups. Results The treatment group 68 cases, 48 cases markedly effective, 16 cases effective, 4 cases no effective, the total effective rate was 94.11%; In the control group, 28 cases markedly effective , 17 cases effective, 27 cases has no ineffective, the total effective rate was 69.64%. Conclusion The total effective rate in treatment group was significantly higher. Budesonide unite Ambroxol is safe and effective therapy for patients with mild to moderate bronchiolitis has effect curative，facilitate easy，can quickly ease、improve respiratory symptoms, inhaled short time，with a high local drug concentration, low adverse reactions, acceptable to patients and their parents，worthy of clinical application.
【Key words】 ultrasonic atomizing inhalation; bronchiolitis; children;
1前言
毛细支气管炎(bronchiolitis)[1]是由呼吸道合胞病毒、副流感病毒、腺病毒等多种病毒感染所致，是婴幼儿期常见的一种严重下呼吸道感染，多见于2岁以内的婴儿，尤其为1～6个月的婴儿多见，常在冬春季节发病，临床上以咳嗽、喘憋为主要表现，伴有发热、咳嗽、气促、呼吸困难及肺部湿哕音等[2]。该病发病率高，起病急，重症者可有高烧不退，口周发青，口唇青紫，有明显的缺氧和中毒症状，甚至可造成呼吸衰竭，心力衰竭、烦躁不安等，死亡率较高。由于目前无特效抗病毒药物，本病尚无特异的治疗办法。因此，解除呼吸道堵塞、改善通气、控制喘憋是提高毛细支气管炎疗效的关键[3]。我院于2007年12月～2010年12月采用病毒唑联合布地奈德超声雾化治疗急性毛细支气管炎94例，疗效满意，现报道如下。
2资料与方法
2.1一般资料
病例选择2007年12月至2010年12月在我院儿科病房住院的124例毛细支气管炎患儿，且均符合毛细支气管炎诊断标准。全部病例均经x线胸片、心电图、血尿粪常规和肝肾功能等多项检查，排除有先天性心脏病、脑、肾等器官功能障碍、气管异物、支气管哮喘、肺结核等疾病者。将患儿随机分为两组：治疗组68例，男性33例，女性35例；对照组56例，男性31例，女性25例；两组患者性别、年龄、病情、临床表现、实验室检查及治疗情况比较无统计学差异，具有可比性 ......
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