ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2017, Vol. 9 ›› Issue (2): 150-152.doi: 10.3969/j.issn.1674-3865.2017.02.019

• 临床研究 • 上一篇    下一篇

普米克令舒联合甲强龙辅助治疗小儿毛细支气管炎疗效观察

孟亚辉   

  1. 471000 河南 洛阳，洛阳中信中心医院儿科
  • 出版日期:2017-04-25 发布日期:2017-12-18
  • 作者简介:孟亚辉(1976-)，女，主治医师。研究方向：小儿呼吸系统疾病的诊治,E-mail:onfhvg@sina.com

Combined adjuvant therapy with pulmicort respulas and methylprednisolone in the treatment of children with capillary bronchitis

MENG Yahui   

  1. Pediatric Department of CITIC, Central Hospital of Luoyang City，Luoyang 471000，China
  • Online:2017-04-25 Published:2017-12-18

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117

摘要：
目的：观察普米克令舒联合甲强龙治疗小儿毛细支气管炎的临床疗效。
方法：2015年2月至2016年5月洛阳中信中心医院儿科收治毛细支气管炎患儿94例，随机分为对照组与观察组各47例。对照组在常规治疗基础上增加普米克令舒药物治疗，观察组在对照组治疗基础上联合应用甲强龙治疗，5 d为1个疗程，观察两组患儿治疗效果及相应症状消失时间。
结果：观察组治疗总有效率为97.87%(46/47)，显著高于对照组78.72%(37/47)，差异有统计学意义(P<0.05)。对照组患儿气喘、咳嗽、肺部啰音消失用时均高于观察组，差异有统计学意义(P<0.05)。
结论：为毛细支气管炎患儿提供普米克令舒联合甲强龙治疗，大部分患儿治疗效果较好，且患儿咳嗽、气喘等症状缓解用时较短。

关键词: 毛细支气管炎, 普米克令舒, 甲强龙, 疗效, 儿童

Abstract:
Objective：To study the clinical curative effect of pulmicort respulas combined with methylprednisolone in the treatment of children with capillary bronchitis.
Methods：Totally 94 cases of children with capillary bronchitis admitted to our hospital from February 2015 to May 2016 were divided into control group(47 cases) and treatment group(47 cases) according to the random number table method. The patients in control group were treated with pulmicort respulas for drug therapy on the basis of conventional therapy, and the treatment group was given methylprednisolone intervention on the basis of treatment for control group, 5 days as course. The therapeutic effect and the disappearance time of corresponding symptoms in the two groups were observed.
Results：The total effective rate of the control group was 78.72%(37/47), which was significantly lower than that in the treatment group(97.87%,41/47). The time for asthma, cough and lung rales to disappear in the control group was longer than in the observation group, the difference being statistical(P<0.05).
Conclusion：The combined treatment of methylprednisolone and pulmicort respulas has better therapeutic effect in most of the children with capillary bronchitis with less remission time spent on children with the symptoms of cough and asthma.

Key words: Capillary bronchitis, Pulmicort respulas, Methylprednisolone, Curative effect, Child