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目的探讨小儿重症肺炎合并心力衰竭(心衰)的治疗效果与小儿哮喘的临床分析。方法 90例小儿哮喘患儿按照就诊时间先后,分为观察组与对照组,每组45例。20例小儿重症肺炎合并心衰患儿,按照就诊时间先后分为观察组与对照组,每组10例。小儿重症肺炎合并心衰对照组行常规治疗,观察组行巴胺联合多巴酚丁胺治疗;小儿哮喘对照组行常规治疗,观察组给予布地奈德联合特布他林雾化治疗,比较组间治疗效果。结果小儿重症肺炎合并心衰患儿中,观察组治疗总有效率明显高于对照组,差异具有统计学意义(P<0.05);小儿哮喘患儿观察组治疗总有效率明显高于对照组,差异具有统计学意义(P<0.05)。结论小儿重症肺炎合并心衰应用多巴胺联合多巴酚丁胺治疗疗效显著;小儿哮喘应用布地奈德联合特布他林雾化治疗效果佳,值得在临床上推广。
Objective To investigate the therapeutic effect of pediatric severe pneumonia complicated with heart failure (CHF) and the clinical analysis of pediatric asthma. Methods Ninety children with asthma were divided into observation group and control group with 45 cases in each group. Twenty children with severe pneumonia complicated with heart failure were divided into observation group and control group according to the time of treatment, with 10 cases in each group. Children with severe pneumonia with heart failure control group underwent routine treatment, the observation group were treated with dopamine and dobutamine; children with asthma control group underwent routine treatment, the observation group was given budesonide combined with terbutaline nebulization, Between the treatment effect. Results Children with severe pneumonia complicated with heart failure, the total effective rate of observation group was significantly higher than the control group, the difference was statistically significant (P <0.05); pediatric asthma children observation group the total effective rate was significantly higher than the control group, The difference was statistically significant (P <0.05). Conclusion Severe pneumonia complicated with heart failure in children with dopamine combined with dobutamine treatment is significant; pediatric asthma with budesonide combined with terbutaline nebulization effect is good, it is worth in the clinical promotion.