96例小儿急性喉气管炎雾化吸入的疗效与护理

Effects and nursing of aerosol inhalation in 96 pediatric acute laryngotracheitis

目的探讨96例小儿急性喉气管炎雾化吸入的疗效与护理。方法选自儿科2014年10月~2015年6月住院的急性喉气管炎患儿96例,其中男56例,女40例,随机化原则进行分组,观察组48例患儿给予复方异丙托溴铵加地塞米松氧气驱动雾化吸入,对照组48例患儿则给予地塞米松超声雾化吸入,两组均采用相应的护理措施,观察比较两组吸气性呼吸困难、声嘶及犬吠样咳嗽等症状缓解时间,全身激素使用剂量及住院天数。结果观察组患儿吸气性呼吸困难、声嘶及犬吠样咳嗽消失时间,全身激素使用剂量及住院天数均短于对照组,差异有统计学意义（P〈0.05）。结论氧气驱动雾化吸入复方异丙托溴铵加地塞米松治疗小儿急性喉气管炎的疗效好,安全可靠,操作简单、方便。

Objective To explore the effects and nursing of aerosol inhalation in 96 pediatric acute laryngotracheitis.Methods 96 acute laryngotracheitis from October 2014 to July 2015 of pediatrics were selected.Among them,56 cases were boys and 40 cases were girls.Patients were random divided. 48 cases in observation group were given compound ipratropium bromide combined with dexamethasone oxygen atomization inhalation.48 cases in control group were given dexamethasone ultrasonic atomizing inhalation.Corresponding nursing measures were used in two groups.The relief time of inspiratory dyspnea,hoarseness and barking cough,whole body hormone dosage and hospital stay in two groups were observed. Results The inspiratory dyspnea,hoarseness and barking cough disappeared time,whole body hormone dosage and hospital stay in observation group were less than that of control group and the difference was statistical significance（P0.05）. Conclusion Using compound ipratropium bromide combined with dexamethasone oxygen atomization inhalation in pediatric acute laryngotracheitis has good effects and with the advantages of safety,easy to operate and convenience.