阿奇霉素口服联合雾化吸入治疗毛细支气管炎迁延25例临床观察

Curing Persinting Bronchiolitis with Azithromycin Combining with Atomization in 25 Cases

目的阿奇霉素口服联合布地奈德和沙丁胺醇雾化与头孢抗生素口服联合止咳平喘药和泼尼松口服治疗迁延性毛细支气管炎的疗效比较。方法 25例迁延性毛细支气管炎采用阿奇霉素口服、布地奈德及沙丁胺醇雾化治疗,设为治疗组;23例迁延性毛细支气管炎采用头孢抗生素、止咳平喘药、泼尼松口服治疗,设为对照组。观察体温、咳嗽、咳痰、喘息等临床表现,肺部啰音吸收情况及胸片恢复情况。结果两组3天有效率及5天治愈率差别有统计学意义(P<0.05)。结论治疗组咳喘、咳痰症状缓解快,肺部啰音吸收及胸片恢复较快效果明显优于对照组,且可缩短病程。

Objective To compare with antibiotics combing with prednisone,we used azithromycin combining with the atomization to cure the persisting bronchiolitisMethods We used Azithromycin combining with the atomization to cure the patients group,and we used antibiotics combing with prednisone to cure the control group,we observed the temperature、coughing、expectoratino、gasping、rales and the diversity of X-ray.Results The three-day-effective rate and the fire-day-curing rate of treatment group was different from the control group.Conclusion Treat ment group regains earlier to the control group,and the pathogenesis is shorten.