小儿急性喉炎的临床治疗体会

Clinical Treatment Experience of Acute Laryngitis in Children

目的:分析小儿急性喉炎的治疗措施与效果。方法:选取本院2012年4月-2013年4月收治的120例小儿急性喉炎患者作为研究对象。采用随机数字表法将其分成对照组和观察组,每组60例。对照组在基础治疗的同时接受地塞米松治疗,观察组在基础治疗的同时接受布地奈德混悬液进行雾化治疗。比较两组治疗效果、症状改善情况及不良反应发生情况。结果:观察组总有效率高于对照组,比较差异有统计学意义(P<0.05);观察组喉喘鸣音、呼吸困难、声嘶及咳嗽评分均低于对照组,比较差异有统计学意义(P<0.05);观察组声嘶、犬吠样咳嗽以及呼吸困难消失时间均明显短于对照组,比较差异均有统计学意义(P<0.05);观察组总不良反应发生率明显低于对照组,比较差异有统计学意义(P<0.05)。结论:对于小儿急性喉炎患者,在基础治疗的基础上,采用布地奈德混悬液进行雾化吸入治疗,可以有效提高治疗效果,值得在临床上大力推广。

Objective： To analyze the treatment measures of acute laryngitis in children and their effects. Method： 120 children with acute laryngitis in our hospital from April 2012 to April 2013 were selected and randomly divided into the control group and the observation group, each group had 60 cases.The control group received Dexamethasone on the basis of basic treatment.The observation group received Budesonide Suspension on the basis of basic treatment.The treatment effect, improvement situation of symptoms and incidence of adverse reactions were compared between the two groups.Result： The total effective rate of the observation group was higher than that of the control group, the scores of throat wheezing, dyspnea, hoarseness and cough of the observation group were lower than those of the control group.The disappeared times of hoarseness, bark-like cough and dyspnea in the observation group were shorter than those in the control group.The total incidence rate of adverse reactions in the observation group was lower than that in the control group.The differences above were all statistically significant （P〈0.05） .Conclusion： Aerosol inhalation with Budesonide Suspension on the basis of basic treatment in pediatric patients with acute laryngitis can effectively improve the therapeutic effect, it is worthy of clinical promotion.