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孟鲁司特佐治婴幼儿毛细支气管炎疗效观察 被引量:1

Effect of montelukast adjuvant treatment on infant bronchiolitis
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摘要 目的探讨孟鲁司特佐治婴幼儿毛细支气管炎的疗效。方法将80例毛细支气管炎患儿随机分为两组,两组均采用综合治疗,观察组加用孟鲁司特口服,对治疗前后喘憋缓解、咳嗽消失、哮鸣音消失、湿啰音消失时间及治愈率进行比较。结果观察组喘憋缓解时间为(2.65±1.13)d、咳嗽消失时间为(5.72±2.51)d、哮鸣音消失时间为(4.86±1.53)d、湿啰音消失时间为(6.57±1.92)d,以上方面均优于对照组,差异均有统计学意义(t分别=3.53、3.79、6.92、2.46,P均<0.05),治愈率为92.86%高于对照组71.05%,差异亦有统计学意义(χ2=5.15,P<0.05)。结论孟鲁司特对婴幼儿毛细支气管炎有一定疗效,且方便、安全,可作为佐治毛细支气管炎的药物。 Objective To investigate the clinical effect of montelukast on the treatment of infant bronchiolitis. Methods Eighty infants suffered from bronchiolitis were randomly divided into two group: the treatment group (montelukast group, 42 cases) and the control group (routine treatment group, 38 cases).The control group were treated with synthetic therapy and the treatment group were assist-treated with montelukast based on the same synthetic therapy . The clinical effect and recovery rate were evaluated in both groups. Results Compared with the control group, the study group showed a rapider improvement in respiratory symptoms: the dyspnea relieved after ( 2.65 ± 1.13 ) days, the cough disappeared after (5.72±2.51 ) days, the wheezing disappeared after (4.86± 1.53 ) days and the moist rale disappeared after (6.57±1.92)days. The differences of symptom-free days between the two groups were significant (t=3.53,3.79,6.92, 2.46, P〈0.05). The study group had a higher recovery rate 92.86% than the control group 71.05%. There was statistical difference between these two groups(x2=5.15, P〈0.05). Conclusions The clinical symptoms of bronchiolitis can be controlled with montelukast, which is convenient and safe. It can be one of the assist-treated drugs in the infant with bronchiolitis.
作者 刘婉蓉
出处 《全科医学临床与教育》 2010年第2期159-161,共3页 Clinical Education of General Practice
关键词 毛细支气管炎 孟鲁司特 婴幼儿 bronchiolitis montelukast infant
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