小儿重症肺炎并发症的治疗体会

The treatment of children with severe pneumonia complications

目的分析小儿重症肺炎并发症的治疗体会。方法随机选择2015年1月—2016年12月在我院就诊的小儿重症肺炎100例。随机分为两组,各50例。所有患者进行常规治疗:开放气道、血气监测等,实验组加用酚妥拉明和多巴胺,2.0 ug酚妥拉明及4.0 ug多巴胺加入10%葡萄糖溶液静脉滴注,每天1次,5天一个疗程。观察两组患者的病情变化。结果实验组总有效率为96%,显著高于对照组,P<0.05,有统计学意义;实验组的RR、HR、LVSD、LVDD、LVEF、LVSF、E/A等心功能指标,FEV1、FVC、PEF、PEmax、PImax等肺功能指标,平均住院时间、TNF-α、C反应蛋白、Sl CAM-1、IL-8、IL-6等预后指标以及治疗满意度均优于对照组,P<0.05,具有统计学意义。结论在治疗小儿重症肺炎的并发症时加用酚妥拉明及多巴胺效果较好,可使用。

Objective To analyze the treatment of children with severe pneumonia complications. Methods randomly selected in January 2015-December 2016 in our hospital 100 cases of children with severe pneumonia. Randomly divided into two groups,each50 cases. All patients with routine therapy,namely: open the airway,blood gas monitoring and so on,the experimental group with phentolamine and dopamine,phentolamine ug 2. 0 and 2. 0 ug dopamine intravenous drip in 10% glucose solution,1 times a day,five days a course of treatment. Observe two groups of patients condition change. Results the total effective rate was 96%,significantly higher than that of control group, P < 0. 05, there is statistical significance; Experimental group of RR, HR, LVSD, LVDD,LVEF,LVSF,E/A cardiac function indexes,such as FEV1 and FVC,PEF,PEmax,PImax,such as lung function index,the average length of hospital stay,TNF alpha,c-reactive protein and Sl CAM-1,IL-8 and IL-6 prognostic factors and treatment satisfaction were better than the control group,P< 0. 05,with statistical significance. Conclusion the complications in the treatment of children with severe pneumonia with phentolamine and dopamine effect is good,can be used.