不同雾化吸入方式治疗不同年龄小儿支气管肺炎的疗效观察

Effect on the effectiveness of different ages children with Bronchopneumonia treatment by different kinds of atomized inhalation Method

目的:观察氧气雾化吸入方式分别通过口器和面罩对不同年龄小儿支气管肺炎的疗效影响。方法:将不同年龄段小儿支气管肺炎患儿随机分组:52例3岁以下分A组27例和B组25例;62例3岁以上分A组30例和B组32例(A组使用口器;B组使用面罩),在常规治疗(抗感染、对症等)基础上用氧气驱动方式分别通过口器或面罩吸入布地奈德雾化混悬液(令舒)和硫酸沙丁胺醇液(万托林),比较两种方式用药后的治疗效果。结果:两种方式对不同年龄有不同的影响,吸入布地奈德混悬液、硫酸沙丁胺醇液后,小儿支气管肺炎的临床症状均有改善,但<3岁患儿使用面罩效果明显好于使用口器;>3岁患儿使用口器效果明显好于使用面罩;两组比较差异显著性有统计学意义(P<0.05)。结论:小儿肺炎在雾化吸入治疗时<3岁患儿宜使用面罩;>3岁患儿宜使用口器。

Objective： Explore different ways inhalation Evaluation of treatment on different ages children with bronchopneumo-nia. Method： 52 cases patient of 〈 3 years old randomly divided into group A （27 cases） and group B （25cases） ; 62 cases patient of 〉 3 years old randomly divided into group A （30cases） and group B （32eases）, Based on regular anti - infection and treat- ment; group A was given Mouths device atomized method , Group B was given Oxygen masks atomized method , The inhalation drugs were budesonide and ventolin by oxygen derived aerosol inhalation~ Results： The total effective rate of 〈 3 years old patient in group A （Mouths device） was 62. 96% and that in group B （Oxygen masks） was 84%. There were obvious difference between them （Z = 2.230, P=0.026） ; The total effective rate of 〉 3 years old patient in group A was 90% and that in group B was 81.25%, the difference was significant （Z = - 1. 976, P = 0. 048 ） ; There were obvious difference between 〉 3 years old patient and 〈 3 years old patient in group A （Z =2. 128, P =0. 033） ; and there were obvious difference between 〉 3 years old patient and 〈 3 years old pa- tient in group B （Z = -2. 168, P =0. 030）. Conclusion： Treatment of 〉 3 years old children with bronchopneumonia in atomization inhaling by Mouths device lays an important role; and Oxygen masks atomized method had a good curative effect on 〈 3 years old children.