特布他林雾化液在小儿纤维支气管镜检查中的应用价值研究

Research on Application of Terbutaline Atomized Liquid in Pediatric Bronchoscopy

目的:探讨特布他林雾化液在小儿纤维支气管镜检查中的应用价值。方法:选取行纤维支气管镜检查的100例住院患儿,随机分为实验组和对照组。实验组50例,于纤维支气管镜检查前雾化吸入特布他林雾化液2.5 mg。对照组50例,纤维支气管镜检查前不予雾化吸入特布他林雾化液。比较两组患儿术前、术中、术后血氧饱和度监测值、呼吸、心率及气管痉挛发生率。结果:实验组术中出现气道痉挛明显比对照组少,其差异有统计学意义(P<0.001)。入院时有气喘的患儿术中出现气道痉挛比例较高(13/27),该类患儿术前予特布他林雾化术中出现气道痉挛明显减少。结论:特布他林雾化液可以减少患儿在行纤维支气管镜检查时气道痉挛的发生,尤其对有气喘症状的患儿更有效。

Objective： To observe the application value of Terbutaline atomized liquid in pediatric bronchoscopy. Methods： 100 samples were collected from the children patients in the department of respiratory who were tested by bronchoscopy. They were randomly divided into experimental group and control group. The 50 cases in experimental group were accepted inhalation terbutaline atomization 2. 5 mg before bronchoscopy while the 50 cases in control group were not. The incidence of bronchospasm,blood oxygen saturation,heart rate and breathing were observed before,during and after the operation. Results： Airway spasm in experimental group occurred significantly less than in the control group. The difference was statistically significant（ P﹤0. 001）. at the time of admission children patients with asthma had a higher rate to have bronchospasm（ 13 /27）. These patients who had terbutaline atomization preoperatively significantly decreased the occurence of airway spasm. Conclusion： Terbutaline atomization can reduce the incidence of bronchospasm in children when having fiberoptic Bronchoscopy,especiallyfor children with wheezing.