氨漠索不同用法辅助治疗小儿肺炎的临床效果观察氨浣索不同用法辅助治疗小儿肺炎的临床效果观察［摘要］目的探讨氨混索辅助治疗小儿肺炎的临床应用效果。方法选取本院2010年1月〜2014年1月收治的200例小儿肺炎患者，随机分为对照组、观察A组、观察B组、观察C组，每组50例，对照组患儿采用常规治疗，观察A组患儿在常规治疗的基础上辅助采用氨漠索雾化进行治疗，观察B组患儿在常规治疗基础上辅助采用氨漠索静脉滴注进行治疗，观察C组患儿在常规治疗基础上行氨漠索静脉滴注+雾化进行治疗。观察4组的治疗效果。结果观察A组治愈37例(74%),观察B组治愈36例(72%),观察C组治愈42例(84%),对照组治愈26例(52%),观察组3组的治愈率明显高于对照组(P<0.05)；观察C组的总有效率明显高于观察A组、观察B组(P<0.05)o观察组3组患儿的体温恢复正常时间、咳嗽咳痰时间、肺部体征消失时间及住院时间均明显短于对照组，差异有统计学意义(P<0.05)；观察A组和观察B组间差异无统计学意义(P>0.05),观察C组与观察A组、观察B组比较，差异有统计学意义(P〈0.05)o结论利用氨漠索辅助治疗小儿肺炎能有效改善患儿的临床症状，缩短患儿住院时间，其中，采用氨漠索静脉滴注+雾化治疗的方式能进一步缩短治疗时间，减轻患儿痛苦，治疗效果更加明显，值得临床推广应用。［关键词］氨混索；小儿肺炎；治疗效果［中图分类号］R725.6［文献标识码］A［文章编号］1674-4721(2014)08(a)-0079-03ClinicaleffectobservationondifferentusagesofambroxolasadjuvanttherapyforchildrenwithpneumoniaTANGCai~eMaternalandChildCareServiceCentreofLiyangCityinJiangsuProvince,Liyang213300,China［Abstract］ObjectiveToinvestigatetheclinicaleffectofambroxolinadjuvanttreatmentofchildrenwithpneumonia.MethodsTwohundredcasesofpatientswithpediatricpneumoniainourhospitalfromJanuary2010toJanuary2014wereineludedinthisstudy,andwererandomlydividedintocontrolgroup,observationgroupA,observationgroupBandobservationgroupC,50casesineachgroup・Patientsincontrolgroupweretreatedwithconventionaltherapy,patientsinobservationgroupAweretreatedwithatomizedambroxol,patientsinobservationgroupBweretreatedwithintravenouslyambroxol,patientsinobservationgroupCweretreatedwithbothatomizedandintravenouslyambroxo1.Theeffectsinfourgroupswereobserved・ResultsTherewere38cases(76%)curedinobservationgroupAand36cases(72%)inobservationgroupB,42cases(84%)inobservationgroupC,and26cases(52%)incontrolgroup,thecurerateofthreeobservationgroupswashigherthanthatofcontrolgroup(P<0.05)・ThetotaleffectiverateinobservationgroupCwashigherthanthatinobservationgroupAandobservationgroupB(P<0.05).InobservationgroupA,BandC,thetimeofbodytemperaturereturningtonormal,coughandexpectoration,pulmonarysymptomsdisappearingandtheperiodofhospitalstaywereallshorterthanthoseincontrolgroup,thedifferencesweresignificant(P<0.05)・TherewasnosignificantdifferencebetweenobservationgroupAandB(P>0.05),whiletheobservationgroupCcomparedwithobservationgroupAandB,thedifferencewassignificant(P<0.05).ConclusionTheuseofambroxolasanadjuvanttherapyforchildrenwithpneumoniacanimprovetheclinicalsymptomseffectively,andshortenpatient7stimeofhospitalization.Meanwhile,thecombinationofambroxolbyintravenousandatomizationcanfurtherreducethetreatmenttimeandrelievesymptoms,showingmoreeffective・Hence,itisworthyofexpansioninclinic・<!--endprint--><!--startprint-->[Keywords]Ambroxol；Pediatricpneumonia；Therapeuticeffect支气管肺炎是小儿的一种主要常见病，尤多见于婴幼儿，也是婴儿吋期的主要死亡原因［1］。患病后免疫力不持久，容易再受感染［2］,对患儿的止常生活造成很大影响，因此，探讨治疗小儿肺炎的方法措施十分必要。本文探讨氨澳索辅助治疗小儿肺炎的临...