中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2014年
30期
150-151,155
,共3页
儿童高通气综合征%诱发试验%纸袋试验%疗效
兒童高通氣綜閤徵%誘髮試驗%紙袋試驗%療效
인동고통기종합정%유발시험%지대시험%료효
Hyper ventilation syndrome%Challenge testing%The paper test%Clinical effect
目的：探讨儿童高通气综合征的诊断及治疗效果。方法选取2008年1月~2013年1月我院收治的儿童高通气综合征22例为研究对象，经诱发试验、纸袋试验、血气分析等诊断治疗后，观察临床疗效及治疗前后肺功能指标变化情况。结果22例患儿中，18例患儿经纸袋试验后症状得到缓解，1例手足搐搦，静脉推注葡萄糖酸钙后得到缓解。对患儿进行VitB1、VitB6等治疗后，患儿症状在治疗3 d时得到缓解，症状在治疗1周后停止发作。患儿经治疗后显效17例(77.27%)，有效5例(22.73%)，总有效率100%。治疗前，患儿FEV1为(0.27±0.08)L，治疗后为(0.39±0.13)L，差异具有统计学意义(P<0.05)。治疗前，患儿FVC为(0.47±0.05)L，治疗后，FVC为(0.57±0.06)L，差异具有统计学意义(P<0.05)。结论儿童高通气综合征需积极治疗，采取诱发试验、纸袋试验等疗效佳，患儿治疗有效率较高，能够保障患儿健康，值得在临床推广。
目的：探討兒童高通氣綜閤徵的診斷及治療效果。方法選取2008年1月~2013年1月我院收治的兒童高通氣綜閤徵22例為研究對象，經誘髮試驗、紙袋試驗、血氣分析等診斷治療後，觀察臨床療效及治療前後肺功能指標變化情況。結果22例患兒中，18例患兒經紙袋試驗後癥狀得到緩解，1例手足搐搦，靜脈推註葡萄糖痠鈣後得到緩解。對患兒進行VitB1、VitB6等治療後，患兒癥狀在治療3 d時得到緩解，癥狀在治療1週後停止髮作。患兒經治療後顯效17例(77.27%)，有效5例(22.73%)，總有效率100%。治療前，患兒FEV1為(0.27±0.08)L，治療後為(0.39±0.13)L，差異具有統計學意義(P<0.05)。治療前，患兒FVC為(0.47±0.05)L，治療後，FVC為(0.57±0.06)L，差異具有統計學意義(P<0.05)。結論兒童高通氣綜閤徵需積極治療，採取誘髮試驗、紙袋試驗等療效佳，患兒治療有效率較高，能夠保障患兒健康，值得在臨床推廣。
목적：탐토인동고통기종합정적진단급치료효과。방법선취2008년1월~2013년1월아원수치적인동고통기종합정22례위연구대상，경유발시험、지대시험、혈기분석등진단치료후，관찰림상료효급치료전후폐공능지표변화정황。결과22례환인중，18례환인경지대시험후증상득도완해，1례수족휵닉，정맥추주포도당산개후득도완해。대환인진행VitB1、VitB6등치료후，환인증상재치료3 d시득도완해，증상재치료1주후정지발작。환인경치료후현효17례(77.27%)，유효5례(22.73%)，총유효솔100%。치료전，환인FEV1위(0.27±0.08)L，치료후위(0.39±0.13)L，차이구유통계학의의(P<0.05)。치료전，환인FVC위(0.47±0.05)L，치료후，FVC위(0.57±0.06)L，차이구유통계학의의(P<0.05)。결론인동고통기종합정수적겁치료，채취유발시험、지대시험등료효가，환인치료유효솔교고，능구보장환인건강，치득재림상추엄。
Objective To explore the dignosis and effect of hyper ventilation syndrome for the 22 cases of children. Methods Selected twenty-two cases of children with hyper ventilation syndrome from January 2008 to January 2013 were researched. They were diagnosised and treated by challenge testing, the paper test, blood gas analysis, the clini-cal effects and the index of lung function were observed. Results In the 22 cases of child patients, 18 cases were re-lieved after the paper test, 1 case with hands and feet rheumatic tetania were relieved after intravenous glucose injec-tion. The child patients were treated by VB1,B6, the symptom were relieved after 3 days, the symptom were stopped a week after the attacks. After the treatment, the excellent was 17 cases(77.27%), 5 cases were efficient(22.73%), the total efficient rate was 100%. The FEV1 was(0.27±0.08) L in prior treatment, the FEV1 was (0.39±0.13) L post-treatment, the FEV1 in posttreatment was higher than the prior treatment (P<0.05);The FVC was (0.47±0.05)L in prior treatment, the FVC was (0.57±0.06) L post-treatment, the FVC in post-treatment was higher than the prior treatment(P<0.05). Con-clusion It needs active treatment for the child patients with hyper ventilation syndrome to protect children's health.
