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为了探讨婴幼儿哮喘的防治方法并了解其预后,从1990~1995年,我们对陆续收治的330例婴幼儿哮喘随机单盲分为5组。A组:63例应用必可酮气雾剂与酮替芬防治:B组:66例应用脱敏治疗口服酮替芬防治:C组:67例应用必可酮气雾剂,脱敏治疗及口服酮替芬防治;D组:67例仅口服酮替芬和氨茶硷防治:E组(对照组):67例仅于急性发作期治疗。防治组总疗程至少一年,平均随访2~3年,结果发明:A、B.C组有效率高达80.1%(51/63),84.4%(56/66),92.5%(62/68),令人满意。D组、E组有效率分别为56.1%(37/66)与26.5%(18/68),提示预后不良。作者建议对婴幼儿哮喘应采用早期、正规、长程联合防治。
In order to explore the method of prevention and treatment of asthma in infants and young children and its prognosis, from 1990 to 1995, we randomly divided 330 infants and young children with asthma randomly into five groups. Group A: 63 patients were treated with ketoconazole and ketotifen. Group B: 66 patients were treated with desensitization oral ketotifen. Group C: 67 patients were treated with ketoconazole-based aerosol, desensitization and Oral ketotifen prevention and treatment; D group: 67 cases of oral ketotifen and ammonia theophylline control: E group (control group): 67 cases only acute exacerbation treatment. Control group total course of at least one year, with an average follow-up of 2 to 3 years, the results found: A, B. C group was as effective as 80.1% (51/63), 84.4% (56/66), 92.5% (62/68), satisfactory. The effective rates of group D and group E were 56.1% (37/66) and 26.5% (18/68) respectively, which suggested that the prognosis was poor. The authors suggest that early childhood, regular, long-term joint prevention and treatment should be adopted.