【作者】 洪先欧; 吴贤玲; 刘纯义; 张侃; 金萍; 罗勇;
【Author】 Hong Xian’ou,Wu Xianling,Liu Chunyi,Zhang Kan,Jin Ping,Luo Yong(Bao’an Maternal and Child Health Hospital of Shenzhen,Guangdong Province,Guangdong Shenzhen 518133,China)
【机构】 广东省深圳市宝安区妇幼保健院;
【摘要】 目的:观察甲泼尼龙联合雾化肾上腺素治疗Ⅲ度喉梗阻的疗效。方法:治疗组22例喉炎合并Ⅲ度喉梗阻患儿,应用小剂量甲泼尼龙静脉注射联合氧气驱动雾化吸入肾上腺素治疗。对照组给予静脉注射地塞米松,同时雾化吸入地塞米松治疗。两组均辅以抗生素等治疗。结果:入院经治疗1 h后,治疗组22例患儿缺氧症状均得到改善,有效率100%,对照组3例病情好转,有效率仅为15.0%。治疗2 h后,治疗组有效率100%,对照组有效率65.0%。两组疗效比较差异有统计学意义(P<0.05)。结论:小剂量甲泼尼龙联合雾化吸入肾上腺素治疗Ⅲ度喉梗阻起效快,疗效明显优于单纯用地塞米松静脉注射并同时吸入地塞米松,且不良反应小,可避免气管切开。 更多还原
【Abstract】 Objective:To observe the efficacy in the treatment of degree Ⅲ laryngeal obstruction with methylprednisolone combined with nebulized epinephrine.Methods: Twenty two children of acute laryngitis with degree Ⅲ laryngeal obstruction in observation group used a small dose of intravenous methylprednisolone combined with inhalation of oxygen-driven nebulized epinephrine.Twenty children in the control group used intravenous and synchronously nebulized dexamethasone.Both groups received antibiotics as a... 更多还原