摘要
目的:分析两种不同雾化吸入疗法对气管导管拔管后喉头水肿的疗效。方法:取60例气管导管拔管后喉头水肿新生儿,抽签法分为对照组(n=30)、观察组(n=30),对照组予地塞米松+异丙肾上腺素雾化吸入,观察组予普米克令舒+肾上腺素雾化吸入,对比两组疗效、经皮血氧饱和度(SpO_(2))、呼吸频率(RR)、心率(HR)。结果:观察组总有效率高于对照组(P<0.05);治疗前两组SpO_(2)、HR、RR水平对比差异无统计学意义(P>0.05);治疗后观察组SpO_(2)水平更高,HR、RR水平更低(P<0.05)。结论:肾上腺素+普米克令舒雾化吸入治疗气管导管拔管后喉头水肿效果显著,可改善血氧指标。
Objective:To analyze the efficacy of two different nebulization inhalation therapies on laryngeal edema after tracheal catheter extubation.Methods:Sixty children with laryngeal edema after tracheal extubation were selected and divided into a control group(n=30)and an observation group(n=30)by a lottery method.The control group was treated with dexamethasone and isoproterenol atomization inhalation,while the observation group was treated with Pulmicort Respules and epinephrine atomization inhalation.The therapeutic effects,percutaneous oxygen saturation(SpO_(2))and respiratory rate(RR)and heart rate(HR)were compared between the two groups.Results:The total effective rate of the observation group was significantly higher than that of the control group(P<0.05).The comparison of SpO_(2),HR and RR levels showed no statistical significance before treatment.SpO_(2)level was significantly higher and HR and RR levels were significantly lower in the observation group than the control group after treatment(P<0.05).Conclusion:The atomization inhalation therapy of epinephrine combined with Pulmicort Respules for the treatment of children with laryngeal edema after extubation of endotracheal tube has a significant effect and can improve the blood oxygen index.
作者
裴敏
PEI Min(Department of Pediatrics,Yingtan People’s Hospital,Yingtan 335000,China)
出处
《上海医药》
CAS
2023年第9期35-37,66,共4页
Shanghai Medical & Pharmaceutical Journal
关键词
气管导管
喉头水肿
新生儿
普米克令舒
肾上腺素
endotracheal tube
laryngeal edema
newborn
Pulmicort Respules
adrenaline