布地奈德混悬液与特布他林雾化液氧气雾化吸入治疗毛细支气管炎的疗效观察

Clinical research of inhalation therapy for bronchiolitis by oxygen atomization of budesonide suspension and erbutaline aerosol liquid

目的观察布地奈德混悬液与特布化林雾化液氧气雾化吸入治疗毛细支气管炎的效果。方法将收治的127例毛细支气管炎患儿,随机分为2组,布地奈德混悬液与特布他林氧气雾化组(治疗组)69例;利巴韦林氧气雾化组(对照组)58例,比较两组患儿的临床症状和体征消失、并发症发生、肺部X线吸收、血气分析变化及住院天数。结果与对照组比较,治疗组患儿临床症状和体征消失快,并发症发生少,胸部X线炎症吸收早,血气分析恢复快,差异有统计学意义(P<0.05),住院天数少。结论布地奈德混悬液与特布他林雾化液氧气雾化用于治疗毛细支气管炎,具有临床症状缓解率高、并发症发生少、方便安全的特点,值得临床推广。

Objective To researchthe effect of inhalation therapy for bronchiolitis by oxygen atomization of budesonide suspengsion and terbutaline aerosol liquid.Method 127 children with bronchiolitis were divided into 2 groups.CH group（69 cases） was treated with oxygen atomization of budesonide suspension and terbutaline aerosol liquid.The control group（58 cases） was treated with oxygen atomization of ribavirin.Children from the 2 groups were compared in the disappearance of clinical symptoms and signs,occurrence of complications,inhalation of pulmonary X-ray,change in blood gas analysis and the length of hospital stay.Results Compared with children from GH group,the patients from control group had faster disappearance of clinical symptoms and signs,less complications（P0.05）,earlier inhalation of chest x-ray（P0.05）,quicker recovery of blood gsa analysis（P0.05） and less length of hospital stay.Conclusion The treatment for bronchiolitis by oxygen atomization of budesonide suspension and terbutaline aerosol liquid is worthy of promotion as it has a high remission rate,less complications and the particularity of convenience and safety.