首页|雾化吸入布地奈德联合地塞米松静脉注射治疗早产儿支气管肺发育不良的疗效观察

雾化吸入布地奈德联合地塞米松静脉注射治疗早产儿支气管肺发育不良的疗效观察

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目的 探讨雾化吸入布地奈德联合地塞米松静脉注射治疗早产儿支气管肺发育不良(BPD)的疗效及安全性。方法 将130例BPD早产儿随机分为对照组(n=65)和试验组(n=65)。对照组在常规治疗的基础上给予醋酸地塞米松注射液治疗,试验组在对照组基础上给予雾化吸入布地奈德混悬液治疗,2组均连续治疗10 d。比较2组早产儿的吸氧时间、机械通气时间、住院时间、临床疗效和不良反应情况,并在矫正胎龄36周时或出院时对2组早产儿进行BPD分度比较。结果 治疗后,试验组的吸氧时间、机械通气时间和住院时间均短于对照组;试验组BPD分度优于对照组;试验组临床总有效率为89。23%,高于对照组的69。23%;上述组间差异均有统计学意义(P<0。05)。2组不良反应发生情况比较,差异无统计学意义(P>0。05)。结论 雾化吸入布地奈德联合地塞米松静脉注射治疗早产儿BPD安全有效,可显著缩短吸氧时间、机械通气时间和住院时间,改善病情分度。
Effect of nebulized inhalation of budesonide combined with intravenous injection of dexamethasone in the treatment of preterm infants with bronchopulmonary dysplasia
Objective To investigate the efficacy and safety of nebulized inhalation of budes-onide combined with intravenous injection of dexamethasone in the treatment of preterm infants with bronchopulmonary dysplasia(BPD).Methods A total of 130 preterm infants with BPD were ran-domly divided into control group(n=65)and experimental group(n=65).The control group re-ceived dexamethasone acetate injection on the basis of conventional treatment,while the experimental group was treated with nebulized inhalation of budesonide suspension on the basis of the control group,and both groups were treated continuously for 10 days.The oxygen inhalation time,mechani-cal ventilation time,hospitalization time,clinical efficacy,and adverse reactions were compared be-tween the two groups,and the BPD grading was also compared between the two groups at 36 weeks of corrected gestational age or at discharge.Results After treatment,the oxygen inhalation time,me-chanical ventilation time,and hospitalization time in theexperimental group were shorter than those in the control group;the BPD grading in the experimental group was better than that in the control group;the clinical total effective rate in the experimental group was 89.23%,which was higher than 69.23%in the control group;all the between-group differences mentioned above were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Nebulized inhalation of budesonide combined with intravenous injection of dexamethasone is safe and effective in treating preterm infants with BPD,which can significantly shorten oxygen inhalation time,mechanical ventilation time and hospitaliza-tion time,and improve disease grading.

budesonidedexamethasonepreterm infantsbronchopulmonary dysplasia

吉唯奇、王艳艳、张世芳

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河北省张家口市妇幼保健院新生儿科,河北张家口,075000

河北省张家口市妇幼保健院妇产科,河北张家口,075000

布地奈德 地塞米松 早产儿 支气管肺发育不良

河北省张家口市重点研发计划项目

2221169D

2024

实用临床医药杂志
扬州大学,中国高校科技期刊研究会

实用临床医药杂志

CSTPCD
影响因子:1.543
ISSN:1672-2353
年,卷(期):2024.28(14)
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