小儿毛细支气管炎诊疗分析

The diagnosis and treatment of children with bronchiolitis

目的探讨小儿毛细支气管炎的临床特点与治疗效果,总结此病的诊疗经验。方法收集2006年1月到2012年1月我科收治的毛细支气管炎患儿的临床资料,从患儿的临床及分类治疗特点来探讨毛细支气管炎的特点,治疗时患儿随机分为对照组和观察组,对照组给予常规方法治疗,观察组在常规药物基础上加用普米克令舒和可必特联合治疗。结果从有效率分析,观察组的有效率为94.9%,而对照组的有效率为84.2%,对照组的有效率要明显的低于观察组。从体征消失时间与平均康复时间来分析,对照组的各项指标消失时间与平均康复时间明显要低于观察组(P<0.05)。结论小儿毛细支气管炎应以预防为主,对于已经发病的儿童,要时刻进行病情监护,同时在常规用药的基础上,应根据不同病情及特点对症进行治疗。

Objective Discussion the clinical characteristics about pediatric bronchiolitis,summarize the treatment experience.Methods From 2006 January to 2012 year January collected treated children with bronchiolitis clinical information in our hospital,add up clinical manifestations,diagnosis and the characteristics of classification treatment pediatric bronchiolitis,associated with better treatment,where in the treatment were randomly divided into the observation group and the control group,the control group was given routine treatment,the observation group in the conventional drugs combined with Pulmicort Respules come combined treatment.Results Analysis the efficient observation group was 94.9%,while the control group was 84.2%,in the control group efficiency is significantly lower than the observation group.Analysis the average recovery time from the signs disappeared,indicators of the control group disappeared and the average recovery time is significantly lower than the observation group（P 0.05）.Conclusion Bronchiolitis in children should give priority to prevention,but has the prevalence of children should be in the conventional medication on the basis,according to the different condition and characteristics of symptomatic treatment.