3%盐水雾化吸入对儿童大叶性肺炎的疗效观察  

Observation on the curative effect of 3%saline atomization on pediatric lobar pneumonia

作　　者：付溥和[1] 徐丹[2] FU Puhe;XU Dan(No.2 Department of Pediatrics,Fengcheng People's Hospital of Jiangxi Province,Fengcheng331100,China;Department of bone traumaⅡ,Fengcheng People's Hospital of Jiangxi Province,Fengcheng331100,China)

机构地区：[1]江西省丰城市人民医院儿二科,江西丰城331100 [2]江西省丰城市人民医院骨创伤二科,江西丰城331100

出　　处：《中国现代医生》2020年第26期76-78,82,共4页China Modern Doctor

摘　　要：目的观察评估3%盐水雾化吸入对儿童大叶性肺炎的治疗效果。方法收集2014年2月~2018年8月在丰城市人民医院住院,确诊为大叶性肺炎的96例患儿作为研究对象。随机分为加用3%盐水雾化吸入组48例、常规治疗组48例。比较两组患儿临床疗效、不良反应、病原学检查结果、住院时间、临床症状、体征改善情况、胸片或胸部CT恢复时间。结果加用3%盐水雾化吸入组患儿住院时间、临床症状好转时间、肺部体征消失时间均短于常规治疗组(P<0.05)。加用3%盐水雾化吸入组患儿总有效率为95.8%;常规治疗组总有效率为81.3%,两组疗效比较,差异有统计学意义(χ2=5.030,P<0.05)。且两组患儿病原学检查结果比较,差异无统计学意义(P>0.05)。除加用3%盐水雾化吸入组中有13例患儿在雾化时出现轻-中度咳嗽外,均无严重不良反应。结论3%盐水雾化吸入配合治疗能有效缓解症状和体征,促进炎症吸收,缩短病程;而且3%盐水雾化吸入较支气管镜检查、肺泡灌洗术更宜在基层医院开展,达到经济和社会的双重效益。Objective To observe and evaluate the effect of 3%saline atomization in the treatment of children with lobar pneumonia.Methods A total of 96 children patients who were hospitalized in Fengcheng People's Hospital from February 2014 to August 2018 and diagnosed with lobar pneumonia were collected as the study subjects.They were randomly divided into a group of 48 cases who were given 3%saline atomization and a conventional treatment group of 48 cases.The clinical effect,adverse reactions,etiological eamination results,length of stay,clinical symptoms,signs improvement,chest radiography or chest CT recovery time were compared between the two groups of children patients.Results In the group of children patients given 3%saline atomization,the length of stay,clinical symptom improvement time,and disappearance time of lung signs were all shorter than those in the conventional treatment group(P<0.05).The total effective rate of children patients given 3%saline atomization was 95.8%;the total effective rate in the conventional treatment group was 81.3%.There was significant difference between the two groups(χ2=5.030,P<0.05).Moreover,there was no statistical difference in the results of pathogenic examination between the two groups(P>0.05).Except for 13 children patients in the group of 3%saline atomization who showed mild-to-moderate cough during atomization,there were no severe adverse reactions.Conclusion 3%saline atomization combined with treatment can effectively relieve symptoms and signs,promote inflammation absorption,and shorten the course of disease.In addition,3%saline inhalation is more suitable to be implemented than bronchoscopy and alveolar lavage in primary hospitals,so as to achieve dual economic and social benefits.

关 键 词：3%盐水雾化吸入 儿童 大叶性肺炎 肺不张 

分 类 号：R725.6[医药卫生—儿科]