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目的探讨综合治疗对中、重及危重度小儿支气管哮喘的治疗效果。方法选取我医院2010年1月至2012年2月收治的中、重及危重度小儿支气管哮喘患者作为研究对象,入院明确诊断后即给予抗感染、抗炎、舒张支气管、营养、支持等综合治疗措施。结果经过综合治疗后,大多数患者临床控制或症状明显改善,仅2例患者治疗无效转院,无死亡病例,总体有效率达到97.5%,8例药物治疗基础上呼吸机辅助呼吸治疗的患者,与治疗前相比,PaO2明显上升,PaCO2明显下降,pH明显升高﹙P<0.01﹚。结论通过综合治疗,可以有效地缓解小儿支气管哮喘的临床症状,但是无法彻底治愈而反复发作,故在治疗的同时,应该更加重视预防,有效的降低其发病率。
Objective To investigate the curative effect of comprehensive treatment on bronchial asthma in children with moderate, severe and severe. Methods Patients with moderate, severe and severe bronchial asthma admitted to our hospital from January 2010 to February 2012 were enrolled in this study. Comprehensive treatment of anti-infective, anti-inflammatory, diastolic bronchial, nutrition and support Measures. Results After comprehensive treatment, the clinical control or symptoms of most patients were significantly improved. Only 2 patients were transferred to hospital without treatment and no deaths were found. The overall effective rate reached 97.5%. In 8 patients treated with ventilator-assisted respiration, Before treatment, PaO2 was significantly increased, PaCO2 decreased significantly, pH was significantly increased (P <0.01). Conclusions The comprehensive treatment can effectively relieve the clinical symptoms of bronchial asthma in children, but can not be completely cured and recurrent, so in the treatment, we should pay more attention to prevention and effectively reduce the incidence.