氧驱动雾化吸入盐酸氨溴索、布地奈德治疗小儿支气管肺炎32例疗效分析

宋琳

（陕西省丹凤县医院，陕西 商洛，726200）

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摘要：

目的 观察氧气驱动雾化吸入盐酸氨溴索、布地奈德在小儿支气管肺炎中的临床应用效果。方法 将64例支气管肺炎患儿随机分为对照组和观察组，每组32例。两组患儿入院后均给予常规对症支持治疗，对照组在常规治疗的基础上加用盐酸氨溴索治疗，观察组在对照组的基础上加用布地奈德治疗。比较两组的治疗效果、治疗后主要临床症状改善情况及治疗前 后CRP、白细胞计数改善情况。结果 两组治疗14 d 后，观察组显效率为50.00%，总有效率为96.88%，分别高于对照组的 25.00%、81.25%（P<0.05）。观察组患儿体温恢复时间、咳嗽消失时间、气促消失时间、肺部音消失时间均显著短于对照组（P<0.05）。观察组治疗14 d 后血清CRP、白细胞计数显著低于对照组（P<0.05）。结论 采用氧气驱动雾化吸入盐酸氨溴索、布地奈德治疗小儿支气管肺炎，临床效果显著，患者炎症程度显著减轻，临床症状改善明显，值得推广应用。

关键词：氧气驱动；雾化吸入；盐酸氨溴索；布地奈德；支气管肺炎

中图分类号：R725.6 文献标志码：A文章编号：2096-1413(2017)22-0099-02

Curative effect analysis of oxygen-driven aerosolized ambroxol hydrochloride and budesonide in 32 children with bronchial pneumonia
SONG Lin
(Danfeng County Hospital in Shaanxi Province, Shangluo 726200, China)

ABSTRACT: Objective To observe the clinical application effect of oxygen-driven aerosolized ambroxol hydrochloride and budesonide in children with bronchial pneumonia. Methods Sixty-four cases of children with bronchial pneumonia were randomly divided into control group and observation group, with 32 cases in each group. The two groups of children were treated with conventional support treatment after admission, the control group added ambroxol hydrochloride based on the conventional support, while the observation group added budesonide on the basis of the control group. The therapeutic effect, changes of main clinical symptoms and CRP, WBC count before and after treatment between the two groups were compared. Results After 14 days treatment, the effective rate in the observation group was 50.00%, the total effective rate was 96.88%, which were significantly higher than 25.00% and 81.25% in the control group (P<0.05). The recovery time of body temperature, disappearance time of cough and shortness of breath, and disappearance time of lung rales were significantly shorter than those in the control group (P<0.05). The levels of CRP and WBC in the observation group were significantly lower than those in the control group after 14 days of treatment (P <0.05). Conclusion Oxygen -driven aerosolized ambroxol hydrochloride and budesonide in the treatment of bronchial pneumonia has exact effect, it can significantly reduce the clinical symptoms, which is worth promotion and application.
KEYWORDS: oxygen-driven; aerosol inhalation; ambroxol hydrochloride; budesonide; bronchial pneumonia

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