高压氧佐治毛细支气管炎患儿43例临床观察

目的观察高压氧佐治毛细支气管炎的临床疗效。方法按照随机对照原则选取86例2011年12月至2012年12月来我院住院治疗的支气管炎患儿作为研究对象，分为传统对照组与高压氧组各43例。传统对照组采用一般治疗及一般护理，高压氧组在一般治疗的基础上配合高压氧治疗，并采取精细护理，观察2组患儿的临床疗效。结果传统对照组显效15例，有效10例，无效18例，总有效率58．14％；高压氧组显效35例，有效8例，总有效率100．00％。2组总有效率比较，差异有统计意义（P〈0．05），表明高压氧组疗效显著优于传统对照组。2组治疗后感染、咳嗽、喘憋等临床症状均显著缓解，与同组治疗前比较，差异有统计意义（P〈0．05），但高压氧组缓解更为显著，差异有统计意义（P〈0．05）。结论高压氧佐治毛细支气管炎疗效确切，且无明显不良反应，值得临床推广应用。

Clinical observation of 43 cases of pediatric bronchiolitis co-treated with hyperbaric oxygen

Objective To observe the clinical effect of hyperbaric oxygen in treating bronchiolitis. Methods 86 cases of pediatric bronchiolitis in-patient from 2011 December to 2012 December in our hospital were randomized into control group and hyperbaric oxygen group, the control group was treated with traditional general treatment and general nursing, the hyperbaric oxygen group was treated with hyperbaric oxygen therapy on the basis of routine treatment, and fine nursing. Clinical effect was observed. Results In the control group, 15 cases were remarkably effective, 10 cases effective, 18 cases invalid, the total efficiency being 58.14% ; in the hyperbaric ox- ygen group, 35 cases were markedly effective, 8 cases effective, the total efficiency being 100.00%. The differ- ence between the total efficiency was statistically significant （ P〈0.05 ）, showed that the effect of hyperbaric oxygen group was significantly better than that of the traditional group. After treatment, cough, wheezing and other symp- toms in both groups were significantly reduced, compared with the same group before treatment, the difference was statistically significant （P〈0.05） , but the hyperbaric oxygen group were alleviated more significantly, the differ- ence was statistically significant （ P〈0.05 ）. Conclusion The effect of hyperbaric oxygen treatment of bronchioli- tis is exact with no obvious adverse reactions, being worthy of clinical application.