环甲膜穿刺注射地塞米松利多卡因治疗顽固性咳嗽的疗效观察

Cricotnyroid Membrane Puncture by the Injection of Dexamethasone,Lidocaine Treatment in Patients with Cough Post Infectious (CPI)

目的观察环甲膜穿刺注射地塞米松、利多卡因治疗感冒后顽固性咳嗽的疗效。方法78例感冒后顽固性咳嗽病人,经环甲膜穿刺注射地塞米松5mg、2%利多卡因2m1,间隔2天注射1次,2次为1个疗程;配以阿奇霉素片口服0.5g/次,1次/天;阿斯美(复方甲氧那明)每天3次,每次2粒。结果1个疗程结束,治愈率64%;2个疗程结束,治愈率93.59%。结论环甲膜穿刺注射地塞米松、利多卡因治疗感冒后顽固性咳嗽,方法简单、费用经济,病人易接受,具有良好的治疗效果。

OBJECTIVE To observe the cricothyroid membrane puncture injection of dexamethasone, lidocaine treatment in patients with cough post infectious （CPI）. METHODS 78 Patients with intractable CPI in my hospital, of which 41 cases of male, female 37 cases, age 23-56 years old, average 36.3 years old. Were started coughing after upper respiratory tract infection, there was itching throat,dry cough, no chills, fever. Without chronic bronchitis, COPD, bronchial asthma and gastroesophageal reflux disease, etc.X- ray normal, the normal routine inspection. Cricothyroid membrane puncture by the injection of dexamethasone 5 rag, 2% lidocaine 2ml, interval 1 second injection 2 days, 2 times for a course of treatment. RESULTS The first a course of treatment, cure rate of 64%. The end of course, 93.59% cure rate. CONCLUSIONS The cricothyroid membrane puncture by the injection of dexamethasone, lidocaine treatment inintractable CPI, simple, economic, easy to accept the sick, has a good therapeutic effect.