宗菊仙

[摘要] 目的 研究布地奈德与硫酸沙丁胺醇雾化吸入对儿童喘息型支气管肺炎的应用价值。 方法 方便选取2016年12月—2017年11月期间在该院接受治疗的139例儿童喘息型支气管肺炎患儿为对象，按就诊时间分为对照组（n=69）与观察组（n=70）。对照组行常规治疗，观察组以布地奈德与硫酸沙丁胺醇雾化吸入治疗，比较两组患儿治疗效果、临床指标以及不良反应情况。 结果 观察组的治疗总有效率为95.7% 显著高于对照组的治疗总有效率85.5%（χ2=6.913，P=0.014），观察组患儿的喘息、湿罗音和哮鸣音消失时间及住院时间分别为（2.64±1.26）d、（4.82±1.35）d、（3.76±1.14）d、（7.66±1.04）d短于对照组患儿，观察组患儿的不良反应率为10.0% 明显低于对照组患儿的不良反应率21.7%，差异有统计学意义（χ2=5.357，P=0.033）。 结论 布地奈德与硫酸沙丁胺醇雾化吸入治疗在喘息型支气管肺炎患儿的治疗方面具有十分显著的效果。

[关键词] 布地奈德;硫酸沙丁胺醇;雾化吸入;喘息型支气管肺炎

[中图分类号] R725.6          [文献标识码] A          [文章编号] 1674-0742（2018）08（c）-0115-03

Application Value of Nebulized Inhalation of Budesonide and Salbutamol Sulfate in Children with Asthmatic Bronchopneumonia

ZONG Ju-xian

Yixing Second People's Hospital of Jiangsu Province， Wuxi， Jiangsu Province， 214221 China

[Abstract] Objective To study the application value of nebulized inhalation of budesonide and salbutamol sulfate on children with asthmatic bronchopneumonia. Methods Convenient select 139 children with asthmatic bronchopneumonia who were treated in the hospital from December 2016 to November 2017 were divided into two groups： control group （n=69） and observation group （n=70）. The control group received routine treatment. The observation group was treated with budesonide and salbutamol sulfate inhalation. The treatment effect， clinical indicators and adverse reactions of the two groups were compared. Results The total effective rate of treatment in the observation group was 95.7%， which was significantly higher than that of the control group （85.5%），the difference was statistically signficant（χ2=6.913， P=0.014）. The disappearance time of the wheezing， wet rales， and wheezing sounds， hospitalization time in the observation group was （2.64±1.26）d，（4.82±1.35）d， （3.76±1.14）d， （7.66±1.04）d shorter than the control group， and the adverse reaction rate in the observation group was 10.0%， which was significantly lower than that of the control group. The adverse reaction rate in children was 21.7%，the difference was statistically signficant（χ2=5.357， P=0.033）. Conclusion Inhalation of budesonide and salbutamol sulfate has a very significant effect in the treatment of children with asthmatic bronchial pneumonia.

[Key words] Budesonide; Salbutamol sulfate; Inhalation; Breathing bronchopneumonia

兒童喘息型支气管肺炎在我国临床上是属于儿科的一种呼吸道常见疾病。该症最显著的临床症状就是低热或者不发热，以咳嗽和刺激性干咳为主，并且其喉咙部位会时常发出痰鸣音，且喘鸣声音相比较大，但并没有呼吸困难和喘憋的现象发生。该次研究为了进一步探讨布地奈德与硫酸沙丁胺醇雾化吸入治疗儿童喘息型支气管肺炎的应用价值，特意方便选取了2016年12月—2017年11月期间在该院接受治疗的139例儿童喘息型支气管肺炎患儿作为该次研究的对象，现报道如下。……