马新晓

[摘要] 目的 探讨吸入沙丁胺醇与布地奈德雾化溶液治疗喘息性支气管炎的临床效果。 方法 按随机数字表法将本院2012年6月～2013年6月收治的150例喘息性支气管炎患儿分为对照组（75例）和观察组（75例）。两组均给予常规治疗，观察组在常规治疗基础上吸入沙丁胺醇与布地奈德雾化溶液治疗，比较两组的治疗效果。结果 对照组治疗总有效率为77.33%，观察组治疗总有效率为97.33%，差异有统计学意义（P<0.05）；观察组咳嗽、喘息、哮鸣音等症状消退时间及住院时间均短于对照组，差异有统计学意义（P<0.05）。 结论 吸入沙丁胺醇与布地奈德雾化溶液治疗喘息性支气管炎患儿可获得理想的治疗效果，值得临床借鉴和推广。

[关键词] 肺炎；喘息；沙丁胺醇；布地奈德；疗效

[中图分类号] R974[文献标识码] A[文章编号] 1674-4721（2014）06（c）-0061-03

Clinical effect analysis of salbutamol combined with budesonide for aerosol inhalation in the treatment of asthmatic bronchitis

MA Xin-xiao

Department of Pediatrics,the Seventh People′s Hospital of Luoyang City,Luoyang 471000,China

[Abstract] Objective To discuss the clinical effect of salbutamol and budesonide solutions for aerosol inhalation in the treatment of pediatric asthmatic bronchitis. Methods One hundred and fifty cases of patients with asthmatic bronchitis admitted into our hospital from June 2012 to June 2013 were evenly divided into control group and observation group by random number table.Regular treatment was provided to both groups,on the basis of regular treatment,aerosol inhalation of salbutamol combined with budesonide was added to the observation group.The curative effect in both groups was compared. Results The total effective rate in the control group was 77.33%,while it was 97.33%in the observation group,with statistical difference between the two groups (P<0.05).The disappearing time of symptoms like cough,pant,and wheezing rale,etc.and hospital stay in the observation group was shorter than those in the control group,which displayed statistical differences (P<0.05). Conclusion Aerosol inhalation of salbutamol with budesonide can obtain an optimal curative effect on treating pediatric asthmatic bronchitis,which is worthy of using for reference and expansion in clinic.

[Key words] Pneumonia;Pant;Salbutamol;Budesonide;Curative effect

喘息性支气管炎在临床上比较常见，多发于婴幼儿。有统计显示，2岁以下婴幼儿喘息性支气管炎的发生率高达80%[1]。该病的主要致病因素为呼吸道合胞病毒感染，易发于冬春季节交替时期，患儿普遍有喘息、阵发性咳嗽、鼻翼翕动、气促等临床症状，有的患儿还会出现低氧血症或器官功能衰竭等疾病[2]，致患儿的身体健康和生命安全受到严重威胁。目前，临床上治疗喘息性支气管炎的方法很多，为提高该病的治疗水平和质量，本文对吸入沙丁胺醇与布地奈德雾化溶液治疗喘息性支气管炎的临床疗效进行探讨。

1 资料与方法

1.1 一般资料

选取本院2012年6月～2013年6月收治的喘息性支气管炎患儿，共150例，均符合《实用儿科学》关于喘息性支气管肺炎的诊断标准[3]。患儿主要有喘息、阵发性咳嗽、鼻翼翕动、气促、心率快等临床症状，经检查肺部有哮鸣音及湿啰音，排除器官功能障碍或支气管异物患者。……