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目的 观察氧气驱动雾化吸入治疗小儿喘憋性肺炎的临床疗效。方法 将 90例喘憋性肺炎患儿随机分为三组。A组 :超声雾化吸入氨茶碱 (4～ 5mg/kg)、地塞米松 2mg、α 糜蛋白酶 2 0 0 0U、NS 10ml;B组 :6L/min氧气驱动雾化吸入氨茶碱 (4～ 5mg/kg)、地塞米松 2mg、α 糜蛋白酶 2 0 0 0U、NS 10ml;C组 :氨茶碱 (4～ 5mg/kg)灌肠 ,静滴地塞米松 0 1～ 0 2 5mg/kg ,同时配合吸氧。观察各组临床症状改善情况。 结果 A组改善率为 2 3 3% (7/ 2 3) ,B组改善率为 83 3% (2 5 / 30 ) ,C组改善率为 80 % (2 4 / 30 )。B、C两组临床改善率优于A组 ,B、C两组住院天数较A组缩短。结论 6L/min氧气驱动雾化吸入治疗喘憋性肺炎是一种快捷、高效的治疗方法。
Objective To observe the clinical efficacy of aerosol-driven atomization inhalation in children with asthmatic pneumonia. Methods Ninety children with asthmatic pneumonia were randomly divided into three groups. Group A: inhaled aminophylline (4 ~ 5mg / kg), dexamethasone 2mg, α-chymotrypsin 200U, NS 10ml by ultrasonic atomization; Group B: 6L / ~ 5mg / kg), dexamethasone 2mg, α-chymotrypsin 200U, NS 10ml; Group C: aminophylline (4-5mg / kg) enema, intravenous dexamethasone 0 1 ~ 0 2 5mg / kg , At the same time with oxygen. Observed the improvement of clinical symptoms in each group. Results The improvement rate of group A was 23.3% (7/23), that of group B was 83.3% (25/30), and that of group C was 80% (24/30). The clinical improvement rate in group B and group C was better than group A, and the length of stay in group B and C was shorter than that in group A. Conclusion 6L / min oxygen-driven aerosol inhalation of asthmatic pneumonia is a fast and efficient treatment.