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布地奈德治疗急性会厌炎
引用本文:于健,王立冬,薛桂芬. 布地奈德治疗急性会厌炎[J]. 中国耳鼻咽喉头颈外科, 2008, 15(1): 55-56
作者姓名:于健  王立冬  薛桂芬
作者单位:1. 哈尔滨医科大学附属第一医院耳鼻咽喉科,黑龙江,哈尔滨,150001
2. 黑龙江省哈尔滨市第四医院耳鼻咽喉科,黑龙江,哈尔滨,150026
摘    要:目的研究布地奈德治疗急性会厌炎的疗效。方法选择78例急性会厌炎患者,随机分成两组,分别给予雾化吸入布地奈德和地塞米松,其他治疗基本相同,统计治疗结果。结果布地奈德组有效率为98%(41/42),显效率为95%(40/42);地塞米松组有效率为81%(29/36),显效率为72%(26/36);两组间有效率差异具有显著性意义(P=0.03556),显效率差异具有极显著性意义(P=0.00498)。结论雾化吸入布地奈德治疗急性会厌炎起效快,局部抗炎作用强,能快速减轻会厌水肿,减少气管切开的几率。

关 键 词:会厌炎  布地奈德  气道阻塞  气管切开术
收稿时间:2007-06-14
修稿时间:2007-06-14

Budesonide in the treatment of acute epiglottitis
YU Jian,WANG Lidong,XUE Guifen. Budesonide in the treatment of acute epiglottitis[J]. Chinese Archives of Otolaryngology-Head and Neck Surgery, 2008, 15(1): 55-56
Authors:YU Jian  WANG Lidong  XUE Guifen
Abstract:OBJECTIVE To explore the curative effect of budesonide on acute epiglottitis. METHODS Seventy-eight patients with acute epiglottitis were devided into 2 groups randomly. Budesonide and dexamethasone were breathed in respectively with other treatments being the same. The results were processed statistically. RESULTS The effective and apparent effective rate were 98 % and 95 % in the experimental group,81 % and 72 % in control group. The effective rate was significantly different between the 2 groups,the apparent effective rate was very significantly different between the 2 groups. CONCLUSION The budesonide is more powerful than dexamethasone in the treatment of acute epiglottitis. It can decrease the epiglottis edema more quickly and reduce the opportunity of tracheotomy.
Keywords:Epiglottitis  Budesonide  Airway Obs-truction  Tracheotomy
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