首页|吸入用盐酸氨溴索溶液联合孟鲁司特钠咀嚼片治疗小儿喘息性支气管肺炎的临床效果

吸入用盐酸氨溴索溶液联合孟鲁司特钠咀嚼片治疗小儿喘息性支气管肺炎的临床效果

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目的 观察吸入用盐酸氨溴索溶液联合孟鲁司特钠咀嚼片治疗小儿喘息性支气管肺炎的临床效果。方法 选取2021年8月-2022年10月萍乡市妇幼保健院接诊的喘息性支气管肺炎患儿60例,利用随机数字表法分为观察组和对照组,每组30例。对照组给予布地奈德、特布他林雾化吸入等常规治疗,观察组在对照组基础上加用吸入用盐酸氨溴索溶液联合孟鲁司特钠咀嚼片治疗,2组均治疗7 d。比较2组治疗效果、临床症状改善时间、住院时间,治疗前后白细胞计数、中性粒细胞计数、C反应蛋白(CRP)水平及不良反应。结果 观察组治疗总有效率为100。00%,高于对照组的76。67%(x2=7。925,P=0。005);观察组喘息、哮鸣音、咳嗽、发热改善时间及住院时间短于对照组(P<0。01)。治疗7 d后,2组白细胞计数、中性粒细胞计数、CRP水平均低于治疗前,且观察组低于对照组(P<0。01)。观察组与对照组不良反应总发生率比较差异无统计学意义(3。33%vs。6。67%,P=1。000)。结论 吸入用盐酸氨溴索溶液联合孟鲁司特钠咀嚼片治疗小儿喘息性支气管肺炎的疗效显著,能缩短患儿康复时间,改善炎性指标水平,且安全性较高。
Clinical effect of ambroxol hydrochloride solution for inhalation combined with montelukast sodiumH chewable tablets in the treatment of pediatric asthmatic bronchopneumonia
Objective To observe the clinical effect of ambroxol hydrochloride solution for inhalation combined with montelukast sodium chewable tablets in the treatment of pediatric asthmatic bronchopneumonia.Methods Sixty cases of children with pediatric asthmatic bronchopneumonia received by Pingxiang Maternity and Child Care from August 2021 to October 2022 were selected,and they were divided into observation group and control group using the random number table method,with 30 cases in each group.The control group was given budesonide,terbutaline nebulized inhalation and other conventional treatment,and the observation group was treated with ambroxol hydrochloride solution for inhalation combined with montelukast sodium chewable tablets on the basis of the control group,and the two groups were treated for 7 days.The treatment effect,clinical symptom improvement time,hospitalization time,white blood cell count,neutrophil count,the levels of CRP before and after treatment,and adverse reactions were compared between the two groups.Results The total effective rate of treatment in the observation group was 100.00%,which was higher than that of 76.67%in the control group(x2=7.925,P=0.005).The time of improvement of wheezing,rales,cough,fever and hospitalization in the observation group were shorter than those in the control group(P<0.01).After 7 days of treatment,the levels of white blood cell count,neutrophil count,and CRP of the two groups were lower than those before treatment,and the observation group was lower than that of the control group(P<0.01).There was no statistically significant difference in the total incidence of adverse reactions between the observation group and control group(3.33%vs.6.67%,P=1.000).Conclusion The efficacy of ambroxol hydrochloride solution for inhalation combined with montelukast sodium chewable tablets in the treatment of pediatric asthmatic bronchopneu-monia is remarkable,which can shorten the recovery time of the children,improve the level of inflammatory indexes,and has a high degree of safety.

Pediatric asthmatic bronchopneumoniaAmbroxol hydrochloride solution for inhalationMontelukast sodium chewable tabletsTherapeutic effectAdverse reaction

刘梦奇、刘小松

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337000 江西省萍乡市妇幼保健院儿内一科

小儿喘息性支气管肺炎 吸入用盐酸氨溴索溶液 孟鲁司特钠咀嚼片 治疗效果 不良反应

2025

临床合理用药
河北省科学技术协会

临床合理用药

影响因子:0.799
ISSN:1374-3296
年,卷(期):2025.18(1)