郭利美??秦微??谭稻香

[摘要] 目的 探討空气压缩泵雾化吸入在小儿肺炎治疗中的临床疗效。方法 收集2014年8月～2016年8月小儿肺炎患者260例，随机分组，对照组采用传统的超声雾化吸入法进行治疗，观察组采用空气压缩泵雾化吸入法进行治疗。记录和比较两组患者治疗前和治疗后的呼吸功能指标（共振频率、呼气流速峰值、最大自助通气量、气道阻力）治疗有效率。结果 有效率方面，观察组的有效率为97%，明显高于对照组的有效率77%，且差异具有统计学意义（P<0.05）；呼吸功能指标方面，两组患者与治疗前对比，呼吸功能指标均有明显改善（P<0.05）；组间比较，治疗后观察组的呼吸功能指标[PEFR（4.49±0.69）、Fres（14.99±1.55）、MVV（58.42±4.99）、Raw（85.00±6.32）]相较对照组[PEFR（3.46±0.29）、Fres（18.32±2.32）、MVV（49.99±4.32）、Raw（105.29±8.32），其治疗效果更加明显，且具有统计学意义（P<0.05）；治疗前，两组患者各项呼吸功能指标差异无统计学意义（P>0.05）。结论 空气压缩泵雾化吸入在小儿肺炎治疗中的临床疗效显著，可有效地改善患者的呼吸功能，具有较高的临床应用价值。

[关键词] 空气压缩泵雾化吸入；小儿肺炎；治疗

[中图分类号] R725.6 [文献标识码] A [文章编号] 2095-0616（2017）12-51-03

Clinical effect of air compression pump atomization inhalation in children with pneumonia

GUO Limei QIN Wei TAN Daoxiang

Shipai Hospital， Dongguan 523320， China

[Abstract] Objective To investigate the clinical effect of air compression pump atomization inhalation in children with pneumonia. Methods The carrying out time： August 2014-Auguest 2016， 260 patients with infantile pneumonia were randomly divided into the control group， which was using the traditional ultrasonic atomizing inhalation treatment， and the observation group， which was using air compressor pump atomizing inhalation treatment. Treatment efficiency of respiratory function index（resonance frequency， expiratory flow the maximum peak， self ventilation， airway resistance） of the two groups before and after treatment was recorded and compared. Results The effective rate of observation group was 97%， which was significantly higher than that of control group with 77%， and difference of data was significant（P<0.05）. Compared with before treatment， the respiratory function indicators of the two groups were significantly improved（P<0.05）. Compared with the control group （PEFR 3.46±0.29， Fres 18.32±2.32， MVV 49.99±4.32， Raw 105.29±8.32）， the observation index of respiratory function group after treatment（PEFR 4.49±0.69， Fres 14.99±1.55， MVV 58.42±4.99， Raw 85.00±6.32） was better， the treatment effect was more obvious， and it had statistical significance（P<0.05）. Before treatment， there was no statistical significance on the respiratory function indicators of the patients in the two groups（P>0.05）. Conclusion The clinical effect of air compression pump atomization inhalation in the treatment of children with pneumonia is significant. It can effectively improve the respiratory function of patients. It has high clinical value.

[Key words] Air compression pump atomization inhalation； Children pneumonia； Treatment

目前临床上多采用雾化吸入方法治疗小儿肺炎，其主要作用是降低感染引起的气道内冲动，雾化颗粒进入肺后，会释放前列腺素，使支气管扩张，从而促进肺部的上皮细胞水向气管的转移，可有效缓解黏膜水肿，使通气状况得到改善[1]。临床上常用的雾化吸入方法主要有传统的超声雾化吸入法和空气压缩泵雾化吸入法。空气压缩泵雾化吸入相比超声雾化吸入能够将药物雾化成更小的雾粒，使雾粒能够直接到达细支气管和毛细支气管，充分发挥药物的效果，也减少了药物的使用剂量，并发症发生率更低[2]。本研究采用空气压缩泵雾化吸入治疗小儿肺炎患者，效果显著，现报道如下。

1 资……