联合万托林治疗儿童哮喘急性发作的疗效观察  

Effect Observation of Acute Asthma Treated by Ventolin and Pulmicort with Aminophylline in Children

作　　者：徐良斌[1] 

机构地区：[1]成都市双流县中医医院,四川成都610200

出　　处：《现代临床医学》2009年第1期21-22,共2页Journal of Modern Clinical Medicine

摘　　要：目的:观察万托林与普米克令舒及氨茶碱雾化吸入联合治疗儿童哮喘急性发作的临床疗效。方法:将114例儿童哮喘急性发作患者随机分为两组,两组均在吸氧、抗感染、祛痰综合疗法基础上加药。试验组58例雾化吸入万托林和普米克令舒,同时静脉滴注氨茶碱;对照组56例雾化吸入氨茶碱、普米克令舒,同时静脉滴注氨茶碱。观察两组症状、体征消失天数和临床疗效。结果:呼吸困难、咳嗽、喘息、喘鸣音平均消失天数试验组为1.6 d、4.2 d、3.6 d、3.4 d,对照组为3.2 d、7.2 d、6.5 d、6.4 d,两组比较有极显著性差异(P<0.01)。结论:雾化吸入万托林联合治疗可迅速舒张气道平滑肌,解除气道平滑肌痉挛,控制哮喘急性发作,缩短病程。Objective： To observe the clinical efficacy of acute asthma treated by ventolin, pulmicort and aminophyUine. Methods： 114 patients were randomly divided into two groups, the study group of 58 cases ： ventolin and pulmicort inhalation, aminophylline intravenously. 56 cases in the control group： aminophylline inhalation, aminophylline intravenously, the two groups were based on the combination therapy （ oxygen, anti - inflammatory, expectorant）. Results： Study group ： difficulty breathing, coughing, wheezing, wheezing sound the average resolution days： 1.6 d,4. ：2 d,3.6 d,3.4 d. Control group： 3.2 d,7.2 d,6. 5 d,6.4 d, the differences were significant （P 〈 0. 01 ）. Conclusion： Ventolin inhalation can retax airway smooth muscle rapidly, remit airway smooth muscle spasm, control acute asthma attack and shorten the course of disease.

关 键 词：支气管哮喘 万托林 普米克令舒 氨茶碱 

分 类 号：R725.6[医药卫生—儿科]