CAJ | 학술논문

目的探讨雾化吸入高渗盐水和氨溴索治疗毛细支气管炎的效果。方法将60例毛细支气管炎患儿随机分为高渗盐水组（治疗组）、氨溴索组（对照1组）和常规组（对照2组），每组各20例，治疗组和对照1组在常规治疗基础上分别给雾化高渗盐水4mL或吸入氨溴索7．5mg，每8小时1次（q8h），连用1周，对照2组仅常规治疗。比较临床咳嗽、喘憋、肺部体征消失时间、住院时间等。结果60例患儿均治愈出院，治疗组疗效明显优于对照1组和对照2组，临床喘憋消失、咳嗽消失、体征消失和住院天数比较差异均有统计学意义（ t1值分别为-9．173、-3．252、-9．672、-3．968，均P＜0．01；t2值分别为-7．952、-2．0433、-8．114、-4．793，均P＜0．01）。结论高渗盐水雾化吸入治疗毛细支气管炎优于氨溴索雾化吸入。
목적탐토무화흡입고삼염수화안추색치료모세지기관염적효과。방법장60례모세지기관염환인수궤분위고삼염수조（치료조）、안추색조（대조1조）화상규조（대조2조），매조각20례，치료조화대조1조재상규치료기출상분별급무화고삼염수4mL혹흡입안추색7．5mg，매8소시1차（q8h），련용1주，대조2조부상규치료。비교림상해수、천별、폐부체정소실시간、주원시간등。결과60례환인균치유출원，치료조료효명현우우대조1조화대조2조，림상천별소실、해수소실、체정소실화주원천수비교차이균유통계학의의（ t1치분별위-9．173、-3．252、-9．672、-3．968，균P＜0．01；t2치분별위-7．952、-2．0433、-8．114、-4．793，균P＜0．01）。결론고삼염수무화흡입치료모세지기관염우우안추색무화흡입。
Objective To discuss the treatment effect of atomizing inhaled hypertonic saline and ammonia bromine treatment for capillary bronchitis .Methods Totally 60 cases of capillary bronchitis patients were randomly divided into hypertonic saline group ( therapy group ) , ammonia bromine group(control group 1) and conventional group(group 2) with 20 cases in each group.Control group 2 was only given conventional treatment .On the basis of conventional treatment , control group 1 and therapy group was provided with atomization inhaling ammonia bromine 7.5 mg and hypertonic saline 4 ml, respectively.They were given one time every 8 hours(q8h) and the course was 1 week.Comparison was made in clinical coughing , gasping suppress , pulmonary symptoms disappearance time and hospital stay among three groups .Results All of 60 cases were cured and discharged , and the therapeutic effect of the therapy group ( hypertonic saline group) was significantly superior to that of the other two groups .There were statistical differences in wheezing disappearance , cough disappearance , sign disappearance and hospitalization stay among three groups ( t1 value was -9.173, -3.252, -9.672 and -3.968 respectively, all P<0.01;t2 value was -7.952, -2.0433, -8.114 and -4.793 respectively,all P<0.01) Conclusion Hypertonic saline aerosol inhalation in treatment of capillary bronchitis is better than ammonia bromine atomizing inhalation .