冯博 余恒 林治 林泳 李慧娟

[摘要] 目的 观察对肺炎患儿应用双波长光纤半导体激光治疗机辅助治疗的效果及影响。 方法 选取我院于2016年8月～2018年1月收治的小儿肺炎患儿，将其随机分为对照组与治疗组。其中对照组患儿应用常规抗感染治疗配合止咳化痰等药物治疗方式，治疗组患儿则在对照组的基础治疗方式上加用双波长光纤半导体激光治疗机进行辅助治疗。经治疗后对比两组患儿的临床疗效及有关症状消失时间。 结果 治疗组患儿经基础治疗配合双波长光纤半导体激光治疗机进行辅助治疗后，其治疗总有效率为92.5%，对照组患儿治疗总有效率为67.5%；且治疗组患儿治疗后咳嗽及肺部啰音持续时间、住院天数均显著短于对照组，两组比较，差异具有统计学意义（P<0.05）。两组不良反应发生率比较，差异有统计学意义（P<0.05）。 结论 在小儿肺炎患儿的治疗过程中，应用基础抗感染及止咳化痰等药物治疗配合双波长光纤半导体激光治疗机进行辅助治疗，可显著提升患儿治疗效率，缩短其病程及有关临床症状消失时间，在临床中具有较高的应用价值。

[关键词] 双波长光纤半导体激光治疗机；小儿肺炎；辅助治疗；临床症状

[中图分类号] R725.6 [文献标识码] B [文章编号] 1673-9701（2018）30-0042-03

[Abstract] Objective To observe the effect and influence of dual-wavelength fiber-optic semiconductor laser adjunctive therapy on the treatment of children with pneumonia. Methods Children with pediatric pneumonia admitted in our hospital from August 2016 to January 2018 were randomly divided into control group and treatment group. The children in the control group were treated with conventional anti-infective treatment combined with cough and phlegm drugs. In the treatment group， the dual-wavelength fiber-optic semiconductor laser treatment machine was used for adjuvant treatment based on the basic treatment of the control group. After treatment， the clinical efficacy and the disappearance time of related symptoms between the two groups were compared. Results After treatment with basic therapy and dual-wavelength fiber-optic semiconductor laser treatment machine， the total effective rate of the treatment group was 92.5%， and the total effective rate of the control group was 67.5%. The duration of cough and asthma and the length of hospital stay were significantly shorter than those of the control group. The difference between the two groups was statistically significant（P<0.05）. There were statistically significant differences in the incidence of adverse reactions between the two groups（P<0.05）. Conclusion In the treatment of children with pneumonia， the application of basic anti-infective and cough and phlegm drugs combined with dual-wavelength fiber-optic semiconductor laser therapy machine can significantly improve the treatment efficiency， shorten the course of disease and the disappearance time of related clinical symptoms. It has a high application value in the clinic.

[Key words] Dual-wavelength fiber-optic semiconductor laser therapy machine； Pediatric pneumonia； Adjuvant therapy； Clinical symptoms

小儿肺炎属儿科门诊中发病率较高的疾病之一，為儿科住院的首位疾病。其有病情急、并发症多等特点，且重症肺炎患儿的致亡率达20%～30%，是造成发展中国家5岁以下小儿死亡的主要疾病[1]。婴幼儿由于气管支气管发育不完善，且有狭小、黏膜柔软、血管与黏膜血管丰富以及咳嗽反射弱等特点，导致患儿呼吸道内分泌物不易排出，常出现气道狭窄或阻塞等情况，引发肺部感染的几率显著增加[2]。此外，患儿在发生肺部感染后，可见支气管扩张、肺脓肿、肺不张等并发症出现，严重者甚至可出现心力衰竭的情况。……