摘要
目的观察痰涤雾化液治疗重型颅脑损伤经皮气管切开术后医院获得性肺炎的疗效。方法将67例重型颅脑损伤经皮气管切开术后并发医院获得性肺炎的患者随机分为治疗组35例,对照组32例。2组均予西医综合治疗,在此基础上,治疗组采用微量注射泵持续气道给药湿化加自拟痰涤雾化液高频氧气雾化吸入;对照组采用微量注射泵持续气道给药湿化加氨溴索注射剂高频氧气雾化吸入,比较两组疗效。结果经7 d治疗后,治疗组的白细胞数、C反应蛋白以及中医证候积分下降比对照组明显,两组间比较差异有统计学意义(P<0.05);治疗组中医证候疗效的总有效率为77.1%高于对照组的总有效率62.5%,两组间比较差异有统计学意义(P<0.05)。结论痰涤雾化液高频氧气雾化吸入治疗重型颅脑损伤气管切开术后并发医院获得性肺炎的患者疗效确切,安全无明显副作用,值得临床推广。
Objective To evaluate the efficacy of Tandi atomization on nosocomial acquired pneumonia in patients with sever craniocerebral injury afer tracheotomy.Methods 67 patients were divided into two groups,35 patients in treatment group and 32 in control group.On the basis of systematic treatment with western medicine,Tandi atomization inspiration was given to in treatment group and ambroxol in control group.Results After treatment 7 days,the white blood cell count,C-reactive protein（CRP）,and symptom scores in treatment group decreased significantly than tnat in control group（P0.05）;the total effective rate in treatment group was 77.1% and in control group 62.5%（P0.05）.Conclusion Tandi atomization is definitely effective,safe and less side-effect for the disease,and may beused in clinic.
出处
《湖南中医药大学学报》
CAS
2010年第9期171-174,共4页
Journal of Hunan University of Chinese Medicine
基金
湖南省自然科学基金资助项目(07JJ6712)
