CAJ | 학술논문

目的针对小儿支气管哮喘疾病,研究该类疾病的急性发作诱因以及临床用药.方法随机选取我院小儿支气管哮喘患儿82例,全部患儿急性发作期经变应原皮肤试验、X线、血清IgE等检查分析患儿支气管哮喘急性发作诱因,立即去除诱因实施解痉、抗炎药物治疗.结果 82例患儿诱发因素检查为吸入性过敏39例,呼吸道感染23例,食物过敏11例,气候因素5例,运动诱发4例；喘乐宁雾化吸入对患儿支气管哮喘急性发作具有明显缓解作用,总有效率达97.6％.结论小儿支气管哮喘急性发作常见诱因有螨虫、花粉等吸入性过敏,呼吸道感染(尤其多见于支原体感染),食物(如鱼、虾)过敏以及气候骤变和运动等诱发因素；糖皮质激素、支气管扩张剂以及抗炎药物为临床主要用药,雾化吸入为最佳给药途径.
목적 침대소인지기관효천질병,연구해류질병적급성발작유인이급림상용약.방법 수궤선취아원소인지기관효천환인82례,전부환인급성발작기경변응원피부시험、X선、혈청IgE등검사분석환인지기관효천급성발작유인,립즉거제유인실시해경、항염약물치료.결과 82례환인유발인소검사위흡입성과민39례,호흡도감염23례,식물과민11례,기후인소5례,운동유발4례；천악저무화흡입대환인지기관효천급성발작구유명현완해작용,총유효솔체97.6％.결론 소인지기관효천급성발작상견유인유만충、화분등흡입성과민,호흡도감염(우기다견우지원체감염),식물(여어、하)과민이급기후취변화운동등유발인소；당피질격소、지기관확장제이급항염약물위림상주요용약,무화흡입위최가급약도경.
Objective To disease of children with bronchial asthma acute attack,cause of the disease and the clinical medication.Methods Randomly selected children with bronchial asthma in children in our hospital 82 cases,all the patients in acute stage after allergen skin test,X-ray,serum IgE examination analysis on the cause of children with acute attack of bronchial asthma,immediately remove incentives to implement antispasmodic,anti-inflammatory drugs.Results 82 patients predisposing factors to check for inhalant allergens in 39 cases,23 cases of respiratory tract infection,food allergy in 11 cases,5 cases of climate factors,4 cases of exerciseinduced; Ventolin inhalation on children with bronchial asthma acute attack could obviously relieve effect,the total effective rate was 97.6％,with statistical difference (P＜0.05).Conclusion The most common cause of acute attack of bronchial asthma in children with mite,pollen and other inhalant allergies,respiratory tract infection (especially in mycoplasma infection),food (such as fish,shrimp allergy and climate change) and exercise induced factors;glucocorticoid hormone,bronchodilator and anti-inflammatory drugs for clinical medication,atomization inhalation is the best to the route of administration.