降阶梯方案治疗门诊婴幼儿喘息临床效果观察

Observation of clinical effect by top-down therapy in the treatment of outpatient infantile wheezing

目的探讨降阶梯方案治疗门诊婴幼儿喘息的临床效果。方法 128例婴幼儿喘息患儿,随机分为对照组和观察组,各64例。两组均给予退热、吸氧等对症处理,在此基础上对照组给予常规治疗,观察组应用降阶梯方案治疗。比较两组治疗前、治疗7 d后症状评分变化情况,统计两组症状消失时间及治疗7 d后总有效率。结果观察组治疗7 d后哮鸣音、喘息、咳嗽等症状评分均明显低于对照组,差异具有统计学意义(P<0.05);观察组哮鸣音、喘息、咳嗽等症状消失时间均短于对照组,差异具有统计学意义(P<0.05);治疗7 d后,观察组总有效率为90.6%,高于对照组的67.2%,差异具有统计学意义(P<0.05)。结论对婴幼儿喘息患儿应用降阶梯方案治疗疗效显著,能有效改善患儿临床症状,促进患儿康复。

Objective To investigate clinical effect by top-down therapy in the treatment of outpatient infantile wheezing. Methods A total of 128 infantile wheezing patients were randomly divided into control group and observation group, with 64 cases in each group. Both groups received symptomatic treatment by defervescence and oxygen Inhalation. The control group received additional conventional therapy, while the observation group received additional top-down therapy. Comparison was made on changes in symptom scores before and in 7 d after treatment. Total effective rates were summarized at symptom disappearance time and in 7 d after treatment in the two groups. Results The observation group had obviously lower scores of wheezing rale, gasping and cough than the control grup in 7 d after treatment, and their difference had statistical significance（P〈0.05）. The observation group had all shorter disappearance time of wheezing rale, gasping and cough than the control group, and their difference had statistical significance（P〈0.05）. In 7 d after treatment, the observation group had higher total effective rate as 90.6% than 67.2% in the control group, and the difference had statistical significance（P〈0.05）. Conclusion Implement of top-down therapy shows remarkably curative effect in treating infantile wheezing patients, and this method can effectively improve clinical symptoms and enhance rehabilitation.