肾上腺素与布地奈德吸入治疗拔管后喉头水肿疗效比较  被引量:3

Clinical effects of oxygen-driven aerosol inhalation of adrenaline and budesonide on children's laryngeal edema after removing endotracheal intubation

在线阅读下载全文

作  者:丁寅君[1] 占雅萍[1] 方华[2] 

机构地区:[1]西安市儿童医院,陕西西安710002 [2]西安交通大学医学部护理系,陕西西安710061

出  处:《中国妇幼健康研究》2013年第5期768-770,共3页Chinese Journal of Woman and Child Health Research

摘  要:目的探讨肾上腺素、布地奈德雾化吸入治疗气管插管患儿拔管后喉头水肿的疗效。方法回顾性分析124例重症肺炎行气管插管拔管后出现喉头水肿的患儿,根据拔管后主要治疗方法不同分为A组和B组,A组用氧气雾化吸入肾上腺素治疗喉头水肿,B组用氧气雾化吸入盐酸布地奈德治疗喉头水肿,观察两组喉头水肿症状持续时间、雾化后即刻动脉血气及雾化1h后呼吸频率和心率。结果 A组喉头水肿持续时间为(26.91±12.38)h,B组为(34.86±13.21)h,A组症状持续时间较B组短,两组比较,差异有统计学意义(t=-2.691,P<0.05);A组雾化后即刻动脉血氧分压为(88.57±9.06)mmHg,B组为(76.81±11.03)mmHg,A组动脉血氧分压较B组高,两组比较,差异有统计学意义(t=2.529,P<0.05);A组二氧化碳分压为(41.27±11.50)mmHg,B组为(62.21±11.31)mmHg,A组二氧化碳分压较B组低,两组比较,差异有统计学意义(t=-5.529,P<0.05);雾化1h后A组呼吸频率为(34.32±7.79)次/min,B组为(41.18±7.76)次/nin,A组呼吸频率较B组低,两组比较,差异有统计学意义(t=-3.899,P<0.05)。结论氧气雾化吸入肾上腺素可以缩短喉头水肿症状持续时间,提高动脉血氧分压,降低二氧化碳分压,降低呼吸频率。Objective To evaluate the efficacy of oxygen-driven aerosol inhalation of adrenaline and budesonide on children ' s laryngeal edema after removing endotracheal intubation .Methods This study was conducted by a retrospective analysis .Totally 124 children with laryngeal edema after removing endotracheal intubation were divided into group A and B according to different treatment methods .Group A was treated by using oxygen-driven aerosol inhalation of adrenaline , while group B was treated by using oxygen-driven aerosol inhalation of budesonide .Evaluation indicators were observed in two groups , including the duration of laryngeal edema , arterial blood gas immediately after finishing atomization inhalation , respiratory rate and heart rate 1h after finishing atomization inhalation .Results The duration of laryngeal edema was 26.91 ±12.38 h and 34.86 ±13.21 h, respectively in group A and group B, and the difference was significant (t=-2.691,P〈0.05).The PaO2 monitored immediately after finishing atomization inhalation was 88.57 ±9.06mmHg and 76.81 ±11.03 mmHg, respectively in group A and group B , and the difference was still significant ( t =2.529, P 〈0.05).The PaCO2 monitored immediately after finishing atomization inhalation in group A (41.27 ±11.50 mmHg) was lower than that in group B (62.21 ±11.31 mmHg) with significant difference (t=-5.529,P〈0.05).The respiratory frequency was 34.32 ±7.79 in group A and 41.18 ±7.76 in group B.There was statistical significance in it (t=-3.899, P〈0.05).Conclusion Oxygen-driven aerosol inhalation of adrenaline can shorten the duration of laryngeal edema , improve PaO2 , reduce PaCO2 and reduce respiratory frequency .

关 键 词:肾上腺素 机械通气 喉头水肿 雾化吸入 

分 类 号:R767.110.5[医药卫生—耳鼻咽喉科]

 

参考文献:

正在载入数据...

 

二级参考文献:

正在载入数据...

 

耦合文献:

正在载入数据...

 

引证文献:

正在载入数据...

 

二级引证文献:

正在载入数据...

 

同被引文献:

正在载入数据...

 

相关期刊文献:

正在载入数据...

相关的主题
相关的作者对象
相关的机构对象