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探讨储雾罐辅吸普米克、喘康速防治5岁以下小儿哮喘的疗效及其对EC等的影响。60例6个月～5岁哮喘儿以储雾罐辅吸普米克200μg/次,2～3次/日,喘速康0.25mg/次,按需吸入。3～4周后,随症状好转,普米克量渐减,以100～200μg/日维持,总疗程1年。随机取同期30例患儿口服舒喘灵(或氨茶碱)和强的松(0.5mg/kg.d)治疗。症状缓解后渐减量停服。危重者两组均给氟美松静滴2～3天。随访观察1年以上,记录发作次数、程度、用药情况等,综合判定疗效。观察组58例完成临床观察。监控21例,显效26例,好转9例,无效2例,总有效率为98.55%,对照组依次为5、10、11和4例及86.67%(x~2=10.74,P<0.01)。EC和ECP水平观察组于治后6个月明显下降,但仍高于正常。储雾罐辅吸普米克、喘康速是防治年幼儿哮喘的疗效好而安全的疗法。疗程至少1年以上。
To explore the curative effect of the aerosol canister subinjection of Pulmicort and asthma in children with asthma under 5 years old and its effect on EC and so on. 60 cases of 6 months to 5-year-old asthma children to submerge Pulmicort Spray tank 200μg / time, 2 to 3 times / day, Chuan Sukang 0.25mg / time, inhaled as needed. 3 to 4 weeks later, with the improvement of symptoms, Pulmicone volume decreased to 100 ~ 200μg / day to maintain a total course of treatment of 1 year. Randomly taken the same period 30 cases of oral salbutamol (or aminophylline) and prednisone (0.5mg / kg.d) treatment. Decreased volume of symptoms after relief stop taking. Critically both groups give dexamethasone intravenously for 2 to 3 days. Follow-up observation of more than 1 year, record the number of seizures, degree, medication, etc., comprehensively determine the efficacy. Observation group 58 cases completed the clinical observation. The total effective rate was 98.55%. The control group was 5, 10, 11 and 4 cases and 86.67% (x 2 = 10.74, P <0.01), respectively. The EC and ECP levels decreased significantly at 6 months but still higher than normal. Spray tank Spray Pulmichael, Chuan-speed is the prevention and treatment of asthma in children with good and safe treatment. Treatment for at least 1 year.