小儿急性喉气管支气管炎临床分期与不同阶段治疗探讨  

The Clinical Stages of Acute Laryngotracheobronchitis in Children and Observation of Treatment in Different Stages

作　　者：张尚莉 

机构地区：[1]四川什邡市人民医院儿内科,四川什邡618400

出　　处：《中外医疗》2015年第35期115-116,共2页China & Foreign Medical Treatment

摘　　要：目的探究小儿急性喉气管支气管炎的临床分期和不同阶段的临床疗效。方法整群选择该院2014年2月—2015年1月收治的小儿急性喉气管支气管炎患者165例,对所有患儿根据其相应的分型方法进行相应的治疗,并观察临床疗效和住院时间等情况。结果所有165例患儿,患儿平均住院时间为(9.65±4.02)d,治疗后治愈率为95.76%(158/165)。无喉梗阻和I度喉梗阻的住院天数与Ⅱ度相比,差异有统计学意义(P<0.05),无梗阻、梗阻I、Ⅱ度的治愈率显著高于梗阻Ⅳ度,差异有统计学意义(P<0.05)。结论对于小儿急性喉气管支气管炎不同临床分期需要进行相应的治疗方法,无呼吸梗阻和I度喉梗阻的临床疗效最佳,因此对患者进行早期诊断和治疗具有显著临床意义。Objective To study the clinical stages of acute laryngotracheobronchitis in children and the clinical curative effects in different stages. Methods 165 cases of patients with acute laryngotracheobronchitis in children treated in our hospital from February 2014 to January 2015 were selected, and all patients were given corresponding treatment according to their corresponding classification method, the clinical curative effect and length of stay were observed. Results The average length of stay and the cure rate after treatment of all 165 patients were respectively （9.65±4.02）d and 95.76% （158/165）, the difference in the length of stay between no laryngeal obstruction and Ⅰ degree laryngeal obstruction and Ⅱ degree laryngeal obstruction was obvious （P〈0.05）, the cure rate of no laryngeal obstruction and Ⅰ degree laryngeal obstruction and Ⅱ degree laryngeal obstruction was obviously higher than that of Ⅳ degree laryngeal obstruction, and the difference was obvi- ous（P〈0.05）. Conclusion The different clinical stages of acute laryngotracheobronchitis in children need corresponding treatment method, the clinical effect of no laryngeal obstruction and Ⅰ degree laryngeal obstruction is the best , therefore, it has obvious clinical significance to make an early diagnosis and treatment.

关 键 词：急性 喉气管支气管炎 临床分期 不同阶段 

分 类 号：R725[医药卫生—儿科]