摘要
目的:观察足量吸入布地奈德混悬液治疗小儿急性喉炎的临床疗效。方法:将2006年6月~2008年5月住院治疗的58例急性喉炎喉梗阻患儿分成观察组和对照组。观察组(30例)采用布地奈德混悬液足量吸入治疗,同时予以甲基泼尼松龙(甲泼尼龙)静滴。对照组(28例)仅采用甲泼尼龙静滴。结果:观察组的疗效(声嘶、犬吠样咳嗽、喉鸣、呼吸困难等症状缓解)与对照组比较差异有显著性(P【0.01)。结论:小儿急性喉炎喉梗阻或极度烦躁不安时应选用甲基泼尼松龙静滴,一旦病情稳定,应尽早改用单纯布地奈德吸入治疗,可减少或避免全身应用甲泼尼龙的时间,降低发生院内感染的危险。
Objective:To observe the effect of budesonide adequate inhalation in treatment of acute laryngitis in children.Methods:58 cases of children with acute laryngitis,who were in hospital from June 2006to May 2008,were randomly divided into two groups:observation group and control group.The observation group(30 cases) was treated with inhaling budesonide suspension.12 of them were treated with methylprednisolone intravenous infusion at the same time,who had severe laryngeal obstruction.The control group(28 cases)was only treated with methylprednisolone intravenous infusion.Results:There was significant different on the effect(The symptom was released:hoarseness,barking cough,throat rale,dyspnea and so on)of the observation group and the controls(P <0.01).Conclusion:It can be selected to treat with budesonide inhalation in the mild acute laryngitis in children.When laryngeal obstruction and dysphoria exist,methylprednisolone intravenous infusion should be selected.It should be switched to treat with budesonide inhalation as soon as possible once condition is stable,thus the full-body application of methylprednisolone can be reduced or avoided,and the risk of nosocomial infections can be reduced.
出处
《内蒙古医学杂志》
2009年第S3期3-5,共3页
Inner Mongolia Medical Journal
