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目的:分析和探讨喘可治联合沙丁胺醇雾化吸入佐治毛细支气管炎的临床疗效,总结其临床价值。方法:回顾性分析2012年6月至2013年6月来我院就诊的毛细支气管炎患者40例,分为观察组和对照组两组。每组患者有20例。对照组患者均给予对症治疗,保持室内的温度和湿度,让患儿注意休息,提高患儿的头部、胸部,减少呼吸困难,拍背吸痰并给与吸氧。给予抗病毒、镇静解痉治疗并补充体液,纠正酸中毒,对出现心力衰竭的患儿进行强心治疗等常规治疗,观察组在对照组常规治疗的基础上给予喘可治注射液lml肌肉注射,每日1次,沙丁胺醇雾化吸入,每次吸入的时间为10-15min,疗程为7天。分析和比较两组不同治疗方法对毛细支气管炎的临床效果。结果:对照组显效的患儿6例,有效的患儿8例,无效的患儿6例,总有效率为70.00%,观察组显效的患儿8例,有效的患儿10例,无效的患儿2例,总有效率为90.00%,经X2检验,两组患者的疗效具有显著差异(p<0.05),观察组疗效优于对照组。结论:采用喘可治联合沙丁胺醇雾化吸入佐治毛细支气管炎能很快地改善患儿的临床症状和体征,显著提高了患儿治疗的有效率,值得临床借鉴和推广。
OBJECTIVE: To analyze and discuss the clinical efficacy of asthma treatment combined with salbutamol inhalation in the treatment of bronchiolitis, and to summarize its clinical value. Methods: Forty patients with bronchiolitis who came to our hospital from June 2012 to June 2013 were retrospectively analyzed. The patients were divided into observation group and control group. There are 20 patients in each group. Patients in the control group were given symptomatic treatment to maintain the indoor temperature and humidity, so that children pay attention to rest, improve children’s head and chest, reduce breathing difficulties, shoot the back suck sputum and give oxygen. Given anti-virus, sedative antispasmodic therapy and body fluid supplementation, correct acidosis, heart failure in children with cardiac treatment and other conventional treatment, the observation group in the control group on the basis of conventional treatment given astragalus injection lml intramuscular injection , Once daily, salbutamol inhalation, each inhalation time is 10-15min, the course of treatment is 7 days. The clinical effects of two different treatment methods on bronchiolitis were analyzed and compared. Results: In the control group, 6 cases were markedly effective, 8 cases were effective and 6 cases were ineffective. The total effective rate was 70.00%. There were 8 cases in the observation group, 10 cases in the effective group and 10 cases in the invalid group Two cases of children, the total effective rate was 90.00%, by X2 test, the two groups of patients with significant differences (p <0.05), the observation group was better than the control group. Conclusion: The treatment of bronchiolitis by inhalation of asthma combined with salbutamol can improve the clinical symptoms and signs of children rapidly, and significantly improve the efficiency of treatment in children, which is worthy of clinical reference and promotion.