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孟鲁司特钠联合布地奈德治疗小儿支气管哮喘临床疗效及改善肺功能的作用研究 被引量:11

Clinical efficacy and lung function of Montelukast combined with Budesonide aerosol inhalation in children with bronchial asthma
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摘要 目的观察孟鲁司特钠联合布地奈德治疗小儿支气管哮喘的临床疗效以及改善肺功能的作用。方法收集60例于2009年10月—2012年3月期间就诊治疗的支气管哮喘患儿,将患儿随机分为两组:对照组30例,治疗组30例,对照组患儿在常规治疗的基础上吸入布地奈德气雾剂(100μg/次,BID,连续使用3个月);治疗组在对照组基础上加用孟鲁司特钠(3~5岁4 mg,6~14岁5mg,口服,QN,连续服用3个月)。结果与对照组比较,治疗组的临床观察指标-治疗前后急性症状发作次数均得到明显改善(P<0.05);肺功能第一秒用力呼气容积(FEV1)、最大呼气流量(PEF)亦有显著改善(P<0.05);对照组的总有效率为70.00%,治疗组为93.34%,二者具有统计学差异(P<0.05)。结论孟鲁司特钠联合布地奈德治疗小儿支气管哮喘的临床疗效显著且能更好的改善肺功能,两者具有协同作用,优于单独使用布地奈德的临床疗效。 Objective To observe the clinical efficacy of aerosol inhalation of budesonide combined with montelukast so- dium for children asthma. Methods Totally 60 children with asthma treated in our hospital from 2009.10 to 2012 . 3 were randomly divided into two groups:control group(30) and treatment group(30). Both groups were treated by aerosol inhalation of budesonide ( 200μg/d, for three months) and montelukast sodium(3 -5 years old,4mg,6 - 14 years old, 5mg,po. once per night, for three months)was added to the treatment group. Results Compared with the control group,the clinical symptoms were improved significantly,and the PEF and FEV1 were markedly improved in the treat- ment group (P 〈 0.05). Conclusions Budesonide combined with montelukast sodium has a significant curative effect to infantile bronchial asthma, and have better effect than Budesonide.
作者 郝建成
出处 《医药论坛杂志》 2013年第3期44-46,共3页 Journal of Medical Forum
关键词 小儿支气管哮喘 孟鲁司特钠 布地奈德 Children with Bronchial Asthma ~ Montelukast Budesonide
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