丙酸氟替卡松联合沙丁胺醇气雾剂辅助治疗小儿肺炎109例疗效观察

The Effects of Inhaling Clinical observation of inhalation of fluticasone propionate and budesonide suspension on 109 children with Pneumonia

目的观察丙酸氟替卡松气雾剂加沙丁胺醇气雾剂吸入辅助治疗伴喘息的小儿肺炎的疗效。方法 109例伴喘息的肺炎患儿按照随机数字表法分为治疗组(n=55)及对照组(n=54),两组均予抗感染、化痰止咳等对症治疗,治疗组在此基础上给予丙酸氟替卡松和沙丁胺醇气雾剂吸入。观察两组的临床疗效。结果治疗组总有效率(96.36%)明显高于对照组(85.19%),咳嗽、喘息、哮鸣音及湿啰音消失时间均少于对照组,差异均有统计学意义(P<0.05,P<0.01)。结论丙酸氟替卡松气联合沙丁胺醇气雾剂吸入辅助治疗伴喘息的小儿肺炎疗效显著,值得临床推广应用。

Objective To observe the effect of inhalation of flutieasone propionate and budesonide suspension on children with asthmatic pneumonia. Methods One hundred and nine children with asthmatic pneumonia were randomly divided into the treatment group and the control group. Fifty-five cases in the treatment group while 54 cases in the control. Both groups were treated with anti-in- fection,anti-cough and other symptomatic treatment. In addition, the treatment group was further treated with inhalation of fluticasone propionate and budesonide suspension. The therapeutic effects were compared between the two groups. Results The total effective rate in the treatment group was 96. 36% that was significantly higher than that in the control group （85.19%）. Coughing, asthma, wheeze and moist rale in the treatment group were significantly less than the control group （ （P 〈 0.05,P 〈 0. 01 ）. Conclusions The inhalation of fluticasone propionate and budesonide suspension is an effective assisted treatment for children with asthmatic pneumonia, that is worthy for clinical application.