三联雾化在小儿毛细支气管炎治疗中的临床疗效学研究

目的：观察三联雾化在小儿毛细支气管炎治疗中的临床效果，评价该治疗方式的应用价值。方法：将2010年2月～2015年12月来我院儿科门诊就诊的153例小儿毛细支气管炎患者作为研究对象。采用随机数字表法将153例患儿随机分为对照组、治疗组两组，对照组77例，治疗组76例。对照组采用常规方法治疗，如常规止咳、镇静、吸氧、抗感染及支气管解痉。治疗组76例在采用常规治疗措施外，还采用吸入用复方异丙托溴铵溶液（可必特）1.25mL+布地奈德气雾剂（普米克）200μg+生理盐水1mL三联雾化吸入，每日吸入3次。连续治疗15d，观察疗效。结果：治疗组痊愈32例，有效35例，无效9例，总有效率88.16%，痊愈率42.11%。对照组痊愈17例，有效38例，无效22例，总有效率71.43%，痊愈率22.08%。疗效与痊愈率治疗组均优于对照组（P＜0.05）。结论：采用三联雾化治疗小儿毛细支气管炎效果甚好，远优于常规治疗方法，值得推广。

Clinical Efficacy of Triple Atomization in the Treatment of Bronchiolitis in Children

Objective:To observe the clinical effect of the triple atomization inthe treatment of bronchiolitis in children, and to evaluate the value of the treatment. Methods:153 cases of children with capillary bronchitis in our hospitalfrom February 2010 to December 2015 were studied. And 153 patients wererandomly divided into control group, treatment group two groups, 77 cases inthe control group, 76 cases in the treatment group, cases in the treatment group. The control group treated by conventional methods, such as conventional cough,sedation, oxygen, anti infection and bronchial antispasmodic etc. The treatment group (n = 76) in use at the same time the control group conventional treatment measures are also used with isopropyl compound ipratropium bromidesolution (inhalation of combivent aerosol budesonide)1.25mL+(Pulmicort) 200μg + normal saline 1mL triple atomization inhalation, the daily inhalation of3 times.Continuous treatment of 15d, observation of curative effect. Results:in the treatment group, 32 cases were cured, 35 cases were effective, 9 cases were ineffective, the total effective rate was 88.16%, the cure rate was 42.11%.In the control group, 17 cases were cured, 38 cases were effective, 22 cases were ineffective, the total effective rate was 71.43%, the cure rate was 22.08%. The curative effect and cure rate in the treatment group were better thanthose in the control group (P<0.05). Conclusion:The good effect of triple inhalation in thetreatment of children with capillary bronchitis, far better than the conventional treatment method, worthy of promotion.