不同雾化吸入方法治疗小儿急性喉炎合并喉梗阻的疗效观察

Effect observation of different atomizing inhalation therapy on treatment of acute laryngitis children with laryngeal obstruction

  • 摘要: 目的:观察和分析不同雾化吸入方法治疗小儿急性喉炎合并喉梗阻的疗效。方法100例急性喉炎合并Ⅱ度及以上喉梗阻患儿随机分为观察组和对照组。对照组患儿在常规疗法的基础上给予布地奈德混悬液雾化吸入治疗,观察组患儿在常规治疗的基础上给予肾上腺素联合布地奈德交替雾化吸入治疗。对2组患儿用药后的声嘶消失时间、呼吸困难消失时间、喉鸣音消失、留院观察时间进行观察和比较,并根据用药后患儿的呼吸困难等症状的改善情况对治疗效果进行评价。结果观察组患儿的声嘶、呼吸困难、喉鸣音等各项临床症状的缓解或消失时间和留院观察时间均显著短于对照组(P <0.05);观察组临床有效率显著高于对照组(P <0.05),且观察组中疗效为“显效”的患者比例显著高于对照组(P <0.05)。结论应用肾上腺素联合布地奈德交替雾化吸入治疗小儿急性喉炎合并喉梗阻可快速缓解患儿的各项临床症状,缩短患儿的住院时间。

     

    Abstract: Objectives To observe and analyze the curative effects of different atomizing inhalation therapy on the treatment of the acute laryngitis children with laryngeal obstruction. Methods 100 acute laryngitis children with laryngeal obstruction were randomly divided into the observation group and the control group.The control group was treated with budesonide atomizing inhalation treatment on the basis of conventional therapy,while the observation group was treated with alternative therapy of adrenaline combined with budesonide atomizing inhalation treatment on the basis of conventional therapy.The time for hoarseness disappearance,breathing difficulties dis-appearance,laryngeal stridor disappearance and hospital stay of the children in the two groups after the treatment were observed and compared.The curative effects of the two groups were evaluated according to the improvement of the symptoms such as dyspnea after the treatment.Results The time for hoarseness disappearance,breathing difficulties disappearance,laryngeal stridor disappear-ance and hospital stay of the children in the observation group were significantly shorter than those of the control group (P <0.05).The clinical efficiency of the observation group and the control group were 98% and 82% respectively.The efficiency of the observation group was significantly higher than that of the control group (P<0.05),and the proportion of the patients with the cura-tive effect of complete remission in the observation group was significantly higher than that of the control group (P <0.05).Conclusion Application of adrenaline combined with budesonide atom-izing inhalation treatment in treatment of the acute laryngitis children with laryngeal obstruction can quickly relieve the clinical symptoms,shorten the time of hospitalization and bring a significant clinical efficacy.

     

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