226例小儿哮喘的门诊治疗分析

Analysis of pediatric asthma in outpatient department diagonsis and treatment in 226 cases

目的研究氨茶碱、肾上腺素、地塞米松对于门诊支气管患儿的治疗效果。方法选择2010年1月20日～2012年4月20日在本院门诊就诊的226例支气管患儿的临床资料,观察治疗前后的疾病分级、哮喘发作次数及症状评分,并根据相关标准判定疗效,采用SPSS18.0软件进行统计学分析。结果显效131例、有效83例、无效12例,总有效率为94.67%;治疗后轻度156例,中度61例,重度9例;症状评分为(0.98±0.13)分、发作(1.31±0.25)次/d,分级情况、症状评分及发作次数均明显改善(P<0.05)。结论氨茶碱口服,稍严重者静脉点滴氨茶碱,并给予0.9%氯化钠溶液加肾上腺素、地塞米松雾化吸入,经济又方便,患儿乐于接受,疗效确切,值得在临床治疗中推广。

Objective To study the therapeutic effect of aminophylline, epinephrine, dexamethasone for outpatient bron- choscopy in pediatric patients. Methods The clinical data of outpatient 226 bronchial children were selected in our hospi- tal from January 20, 2010 to April 20, 2012, before and after treatment in disease classification, asthma attacks and symp- tom scores were observed, and in accordance with the relevant standard to judge the curative effect, by SPSS 18.0 software for statistical analyzed. Results One hundred and thirty-one cases were markedly effective, effective in 83 cases, 12 cases were invalid, the total efficiency of 94.67%; After the treatment, mild in 156 cases, moderate in 61 cases, severe in 9 cas- es; The symptom score were （0.98±0.13） points, （1.31±0.25） episodes per day, the classification, symptom score and the number of episodes were significantly improved （P 〈 0.05）. Conclusion Oral aminophylline, slightly serious cases, intra- venous aminophylline, and given saline plus epinephrine, dexamethasone inhalation, economical and convenient, children are willing to accept, definite curative effect, it is worth in the clinical treatment of promotion.