【摘要】 目的探讨不同超声雾化吸入方法的治疗作用及其临床应用效果。方法将重症下呼吸道炎性疾病患儿204例,按年龄段、性别、疾病严重程度及从出现喘息至治疗的时间按随机区组方法分为三组。Ⅰ组68例,常规雾化吸入约2min。Ⅱ组68例,常规雾化吸入约20min。Ⅲ组68例,低流量超声雾化吸入约60min。其他治疗各组相同。分别观察各组急性期喘止时间、恢复期痰消失时间及副作用。结果三组在急性期止喘效果方面,Ⅰ、Ⅱ组比较无显著性差异(P>0.05),Ⅰ、Ⅲ组,Ⅱ、Ⅲ组比较有显著性差异(P<0.01)。在恢复期痰消失时间方面,三组均无显著性差异(P>0.05)。在引起烦躁、加重呼吸困难、患儿拒绝雾化吸入方面,Ⅰ、Ⅱ组比较无显著性差异(P>0.05),Ⅰ、Ⅲ组,Ⅱ、Ⅲ组比较有显著性差异(P<0.01)。结论常规超声雾化吸入疗法,只具有化痰效果,且有显著的一过性引起烦躁、加重呼吸困难和(或)肺水肿等副作用。低流量超声雾化吸入疗法具有显著的止喘、化痰效果,且无副作用。更多还原

【Abstract】 Objective To investigate different effect of treatment and clinical effect with different Utlyasonic-mist therapy.Methods There are serious infection under respiratory system 204 cases,among that,serious bronchiolitis was 78 cases,serious pneumonia was 45 cases and serious bronchial asthma was 81 cases.Each disease were three-three group according to the age phase,sex,serious degree of the disease and the period from appear marked breath with difficulty to was treated by Utlyasonic-mist therapy,and were divided into 3 groups following stochastic ways.Ⅰ group(n=68): to used rule short-time Utlyasonic-mist therapy,inhaled mist-gas in 2 minutes.Ⅱ group(n=68): to used rule long-time Utlyasonic-mist therapy,inhaled mist-gas in 15-20 minute.Ⅲ group(n=68): to used lower volume Utlyasonic-mist therapy,inhaled mist-gas in 60 minute.To used drugs for mist and other treatment was not different among the each group.To observe breath with difficulty has disappeared spending time from the serious bronchiolitis,serious pneumonia and serious bronchial asthma in acute term,to discharge phlegm in respiratory tube has spend time in recover term,and side effect,in each groups.Results ①To effect the breath with difficulty has disappeared spending time in acute term,there were not significantly different(P>0.05) betweenⅠ group and Ⅱ group,Ⅱ group and Ⅲ group.But to discharge phlegm in respiratory tube has spend time above each disease in recover term,there were not significantly difference(P<0.01) among theⅠ group,Ⅱ group and Ⅲ group.② There were not significantly difference(P>0.05) between the Ⅰ group and Ⅱ group,there were significantly difference(P<0.01) between the Ⅰ group and Ⅲ group,Ⅱ group and Ⅲ group,for caused vexation,become breath with difficulty more serious,and refused Utlyasonic-mist.There were not significantly difference(P>0.05) between the Ⅰ group and Ⅲ group,there were significantly difference(P<0.01) between the Ⅱ group andⅠ group or Ⅲ group,caused wet lungs or become it more serious.Conclusion Rule Utlyasonic-mist therapy,has only to discharge phlegm,but it is side effect that breath with difficulty and wet lungs of serious infection under respiratory system were more serious in a while.Lower volume Utlyasonic-mist therapy,clinical effect was marked and not be side effect.更多还原