氧驱动吸入万托林、普米克令舒和溴化异丙托品治疗儿童哮喘急性发作疗效观察  

Effect of salbutamol pulmicort and ipratropine by oxygen blow inspiration to children with asthma

作　　者：杜东红[1] 王俐[2] 

机构地区：[1]峨眉山市人民医院儿科,四川峨眉山614200 [2]乐山市人民医院儿科,四川乐山614000

出　　处：《四川医学》2010年第7期952-953,共2页Sichuan Medical Journal

摘　　要：目的评价氧驱动吸入万托林、普米克令舒和溴化异丙托品治疗儿童哮喘急性发作的临床疗效。方法将82例患儿随机分成两组,治疗组42例,对照组40例。在常规治疗基础上,对照组给予静脉滴注琥珀氢化可的松,治疗组采用普米克令舒、万托林和溴化异丙托品三联氧驱动吸入治疗。治疗5d后观察疗效,>5岁患儿测定治疗前后最大呼气峰流速值(peakexpiratoryflowrate,PEFR)。结果治疗组42例中显效32例,好转10例,有效率100%;对照组40例中显效9例,好转21例,无效10例,有效率75%。两组支气管哮喘患儿治疗后的PEFR明显高于治疗前,差异有统计学意义(P<0.05)。结论运用氧驱动雾化吸入万托林、普米克令舒和溴化异丙托品治疗儿童哮喘急性发作疗效明显优于对照组。Objective To investigate clinical effect of salbutamol pulmicort and ipratropine by oxygen blow inspiration to children with asthma attack.Methods The total 82 children with asthma attack were randomly assigned into two groups：therapeutic group （42 cases） were treated by oxygen blow inspiration with salbutamol,Pulmicort and Ipratropine,and the control group （40 cases） were treated with EF-Cortelan Soluble,both groups received general treatment.Comparing Clinical effects after 5 days,and peak expiratory flow rate （PEFR） were evaluated in children over 5yr before and after therapy.Results In therapeutic group,32 cases got marked effect,10 cases improved,total effective rate was 100%;in control group,9 cases got marked effective,21 cases improved,10 cases were ineffective,total effective rate was 75%.PEERs were much higher after therapy in both groups than that before treatment （P0.05）.Conclusion Treatment to asthma attack children with salbutamol、 Pulmicort and Ipratropine by oxygen inspiration has better therapeutic effects than that of control group.

关 键 词：氧驱动吸入 治疗 哮喘 

分 类 号：R725.6[医药卫生—儿科]