改良雾化吸入方法对佐治毛细支气管炎的影响

Efficacy of improved atomizing inhalation on the infants with bronchiolitis

目的探讨两种雾化吸入方法佐治毛细支气管炎的疗效。方法将48例毛细支气管炎患儿随机分为两组,常规组20例,治疗组28例,在采用综合性治疗的基础上,常规组直接用沙丁胺醇、普米克令舒氧驱动雾化吸入;治疗组则在每次氧驱动雾化前先给予生理盐水超声雾化吸入,并伴拍背吸痰,再按常规组吸入方法治疗。结果治疗组有效率92.86%,常规组70%,两组比较有显著性差异(P<0.05)。结论在毛细支气管炎的治疗中尤其是氧驱动雾化前给予生理盐水超声雾化吸入及呼吸道管理可提高治疗效果。

Objective To compare the therapeutic efficacy of the two methods of atomizing inhalation on the infants with bronchiolitis. Methods 48 cases of infants with bronchiolitis were randomly divided into the control group（20 cases） and the experimental group（28 cases）. All the patients in both groups received general comprehensive treatment such as anti-infection, control of cough and so on and oxygen atomizing inhalation of salbutamol and pulmicort-respules. The ultrasonic atomizing inhalation of normal saline and chest physiotherapy was performed before oxygen atomizing inhalation of salbutamol and pulmicort-respules in the experimental group. Results There was significant difference with regard to the therapeutic efficacy between the two groups（P〈0.05）. The efficacy rate of the experimental group was higher than that of the control group. Conclusion The performance of ultrasonic atomizing inhalation of normal saline and chest physiotherapy before oxygen atomizing inhalation of salbutamol and pulmicort-respules in the infants with bronchiolitis can improve the therapeutic efficacy of salbutamol and pulmicort-respules.