摘要
目的研究小儿肺炎患儿采用雾化吸入布地奈德、特布他林结合机械辅助排痰、微波治疗的临床效果。方法140例小儿肺炎患儿,按照治疗方法不同分为实验组和对照组,每组70例。两组均给予雾化吸入治疗,实验组患儿采用机械辅助排痰联合微波治疗,对照组患儿采用人工叩背辅助排痰,未联合微波治疗。比较两组患儿的治疗效果、症状缓解时间及心、肺功能指标。结果实验组患儿的治疗总有效率为92.86%,高于对照组的80.00%,差异具有统计学意义(P<0.05)。实验组患儿的体温恢复正常时间、心率恢复正常时间、呼吸改善时间、咳嗽消失时间、肺部啰音消失时间分别为(3.46±0.44)、(2.68±0.45)、(3.12±0.46)、(5.46±0.62)、(5.02±0.64)d,均明显短于对照组的(4.38±0.53)、(3.72±0.57)、(5.58±0.74)、(7.98±0.91)、(5.96±0.79)d,差异具有统计学意义(P<0.05)。治疗后,实验组患儿左心室射血分数(LVEF)(67.81±9.59)%、二尖瓣舒张期E峰与A峰的比值(E/A)(1.53±0.28)、心脏指数(CI)(3.02±0.63)L/(min·m^(2))高于对照组的(63.52±8.63)%、(1.21±0.14)、(2.81±0.55)L/(min·m^(2)),左心室舒张末期内径(LVDD)(27.32±3.89)mm短于对照组的(28.68±3.29)mm,差异具有统计学意义(P<0.05)。治疗后,实验组患儿用力肺活量(FVC)、第一秒用力呼气容积(FEV1)、最大呼气流量(PEF)分别为(653.87±40.32)ml、(483.59±26.31)ml、(1.47±0.49)L/s,均高于对照组的(592.99±36.26)ml、(410.43±18.22)ml、(1.24±0.32)L/s,差异具有统计学意义(P<0.05)。结论对小儿肺炎患儿采用雾化吸入布地奈德、特布他林结合机械辅助排痰、微波治疗能够有效提高治疗效果,改善患儿的心、肺功能,值得推广应用。
Objective To study the clinical effect of mechanical-assisted sputum excretion combined with atomization inhalation of budesonide and terbutaline in the treatment of pediatric pneumonia.Methods A total of 140 cases of pediatric pneumonia were divided into experimental and control groups according to different treatment methods,with 70 cases in each group.Both groups were given atomization inhalation.Children in the experimental group were treated with mechanical-assisted sputum excretion combined with microwave therapy,and children in the control group were treated with manual percussion assisted sputum excretion without combined microwave therapy.The therapeutic effect,symptom relief time and cardiopulmonary function indexes in the two groups were compared.Results The total effective rate of treatment in the experimental group was 92.86%,which was higher than 80.00%in the control group,and the difference was statistically significant(P<0.05).The recovery time of body temperature,recovery time of heart rate,respiration improvement time,disappearance time of cough,and disappearance time of pulmonary rales in the experimental group were(3.46±0.44),(2.68±0.45),(3.12±0.46),(5.46±0.62),and(5.02±0.64)d,which were significantly shorter than(4.38±0.53),(3.72±0.57),(5.58±0.74),(7.98±0.91),and(5.96±0.79)d in the control group,and the differences were all statistically significant(P<0.05).After treatment,the left ventricular ejection fraction left ventricular ejection fraction(LVEF)(67.81±9.59)%,early diastolic peak flow velocity of mitral valve/late diastolic peak flow velocity of mitral valve(E/A)(1.53±0.28),cardiac index(CI)(3.02±0.63)L/(min·m^(2))in the experimental group were higher than(63.52±8.63)%,(1.21±0.14),(2.81±0.55)L/(min·m^(2))in the control group;the left ventricular end-diastolic diamerter(LVDD)(27.32±3.89)mm in the experimental group was shorter than(28.68±3.29)mm in the control group;the differences were all statistically significant(P<0.05).After treatment,the forced vital capacity(FVC
作者
刘超森
颜志远
涂辉龙
LIU Chao-sen;YAN Zhi-yuan;TU Hui-long(Jiaoling County People's Hospital,Meizhou 514100,China)
出处
《中国现代药物应用》
2022年第24期26-29,共4页
Chinese Journal of Modern Drug Application
基金
梅州市科技计划项目(项目编号:220224156690541)。
关键词
小儿肺炎
机械辅助排痰
微波
雾化吸入
心功能
肺功能
Pediatric pneumonia
Mechanical-assisted sputum excretion
Microwave
Atomization inhalation
Cardiac function
Pulmonary function
