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目的分析婴幼儿反复发生喘息的治疗方法,有效预防婴幼儿再次出现反复喘息。方法将我院收治的80例反复喘息婴幼儿随机分为观察组和对照组,观察组患儿在常规抗生素和止咳平喘治疗的基础上,服用丙酸氟替卡松联合万托林雾化治疗,治疗后继续吸入辅舒酮;对照组仅进行常规抗生素和止咳平喘治疗。观察两组患儿治疗1周后的疗效和1年后随访中患儿喘息发作的次数和时间。结果治疗1周后,观察组喘息、肺部哮鸣音、咳嗽发生率少于对照组,差异有统计学意义(P<0.05);1年后随访中发现,观察组患儿平均喘息发作次数和喘息持续时间少于对照组,差异有统计学意义(P<0.05)。结论婴幼儿反复喘息需要长期正规的治疗,不仅是针对发作时的治疗,在平时也需要积极地控制,才能有效减少发作次数。
Objective To analyze repeated treatment of wheezing in infants and young children to prevent recurrent wheezing again. Methods 80 cases of recurrent wheezing infants and young children admitted to our hospital were randomly divided into observation group and control group. The children in observation group were treated with fluticasone propionate and vanoterol atomization on the basis of routine antibiotics and cough and asthma treatment. Fuzhou ketone inhalation continued; control group only conventional antibiotics and cough and asthma treatment. The curative effect of one week after treatment in two groups and the number and time of wheezing in one year follow-up were observed. Results One week after treatment, wheezing, wheeze and cough in the observation group were less than those in the control group (P <0.05). One year after the follow-up, the average number of wheezing episodes in the observation group And wheezing duration less than the control group, the difference was statistically significant (P <0.05). Conclusion Infants with recurrent wheezing need long-term regular treatment, not only for the treatment of seizures, but also usually need to be actively controlled in order to effectively reduce the number of seizures.