沙美特罗替卡松吸入治疗儿童哮喘的疗效观察及护理

Effect observation of children with asthma treated with salmeterol fluticasone propionate inhalation and their nursing

目的:观察沙美特罗替卡松吸入治疗儿童哮喘的疗效和护理方法。方法:按病情轻、中、重度持续不同,分别给予不同剂量沙美特罗替卡松吸入,同时按需使用短效β2受体激动剂吸入,对<7岁的患儿可加用储雾罐。并由专科护士讲解使用方法。结果:治疗2周后,日间、夜间症状、肺部哮鸣音评分显著下降,治疗至6个月时无症状的病例已达99.15%,治疗2周后用万托林的量明显减少。6月时有记录的357例随访中显效355例(99.4%),有效1例(0.3%),无效1例(0.3%),总有效率99.7%。结论:沙美特罗替卡松治疗哮喘,只要用量恰当,吸入的方法正确,可以减少哮喘发作的次数和减轻哮喘发作的程度。

Objective: To observe the methods of nursing and the effect of salmeterol fluticasone propionate (Seretide TM) on children with asthma. Method: Salmeterol fluticasone propionate inhalation of different dosages was given according to different illness condition of asthma. At the same time short-acting β2 agonist (with spacer in children below 7 years old) was used if necessary. Result: There were significant decreases of daytime and noctural symptom, pulmonary wheezing scores and dosage of short-acting β2 agonist at 2 weeks of treatment and there was 99.15% of chidren without symptom at 6 month of treatment. There was 355 cases (99.4%) with significant effect, 1 cases with moderate effect (0.3%) and only one case with no effect (0.3%) and the total effect was 99.7%. Conclusion: The onset time and level of asthma can be decreased with proper dosage and inhalation method of Salmeterol fluticasone propionate.