CAJ | 학술논문

目的：观察小儿感染性喉炎并喉梗阻的紧急救治方法的疗效。方法：将小儿喉炎并喉梗阻104例随机分为对照组51例及观察组53例。对照组予琥珀氢化可的松静脉滴注3～5天。观察组Ⅱ度喉梗阻以下予布地奈德雾化吸入，呼吸困难缓解后逐渐减量；Ⅲ度以上喉梗阻在静滴琥珀氢化可的松同时予布地奈德雾化吸入。比较两组治疗48小时喉梗阻症状的缓解情况、住院时间、激素付作用等，观察两组疗效。结果：Ⅱ度以下喉梗阻者观察组显效率93.3%，对照组显效率90.9%，差异无统计学意义（P＞0.05）；III度喉梗阻者观察组显效率87.5%，对照组显效率42.8%，差异有统计学意义（P＜0.05）。结论：足量布地奈德氧气驱动雾化吸入治疗小儿中重度喉梗阻有明显疗效，安全性能高，值得临床推广。
목적：관찰소인감염성후염병후경조적긴급구치방법적료효。방법：장소인후염병후경조104례수궤분위대조조51례급관찰조53례。대조조여호박경화가적송정맥적주3～5천。관찰조Ⅱ도후경조이하여포지내덕무화흡입，호흡곤난완해후축점감량；Ⅲ도이상후경조재정적호박경화가적송동시여포지내덕무화흡입。비교량조치료48소시후경조증상적완해정황、주원시간、격소부작용등，관찰량조료효。결과：Ⅱ도이하후경조자관찰조현효솔93.3%，대조조현효솔90.9%，차이무통계학의의（P＞0.05）；III도후경조자관찰조현효솔87.5%，대조조현효솔42.8%，차이유통계학의의（P＜0.05）。결론：족량포지내덕양기구동무화흡입치료소인중중도후경조유명현료효，안전성능고，치득림상추엄。
Objective To observe the therapeutic effect of different methods in the treatment of laryngeal obstruction in children. Methods 104 patients suffering from acute laryngeal obstruction were divided into two groups randomly. The control group were treated with hydrocortisone sodium succinate intravenous drip3-5 days. The observation group were treated with Budesonide inhalation . Patients with Ⅲ degree laryngeal obstruction were treated with Budesonide inhalation and hydrocortisone sodium succinate intravenous injection. The improvement of symptoms ,the length of hospital stay and the side effect of glucocorticoid were compared of the two groups .Results In theⅡdegree laryngeal obstruction patients ,the effectual rate in the control group is 90.9%and 93.3%in the observation group,there was no significant difference between the two groups(p>0.05). While in theⅢlaryngeal obstruction patients,the effectual rate in the control group is 42.8%and 87.5%in the observation group,there was statistically significant difference between the two groups(p<0.05). Conclusion Treating severe laryngeal obstruction in children with budesonide inhalation is safe and simple with fast action and certain efficacy.