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    早期雾化吸入重组人干扰素α1b对儿童毛细支气管炎的作用分析

    |1b on children,s bronchiolitis

    • 摘要: 目的 探讨早期雾化吸入重组人干扰素α1b对儿童毛细支气管炎的疗效及安全性。方法 将2016年11月至2018年1月在我科住院的毛细支气管炎患儿随机分为早期低剂量组、早期高剂量组、晚期低剂量组、晚期高剂量组及对照组。对照组给予常规对症支持治疗;早期低剂量组在对照组基础上发病72小时内雾化吸入重组人干扰素α1b 2ug/(kg.次),2次/d;早期高剂量组在对照组基础上发病72小时内雾化吸入重组人干扰素α1b 4ug/(kg.次),2次/d;晚期低剂量组在对照组基础上发病72小时后雾化吸入重组人干扰素α1b 2ug/(kg.次),2次/d;晚期高剂量组在对照组基础上发病72小时后雾化吸入重组人干扰素α1b 4ug/(kg.次),2次/d。各组观察7天,对各组患儿的疗效指标、安全指标、改善率和临床症状消失的时间进行比较,采用SPSS 19.0软件进行统计分析。结果<0.05<0.05<0.05<0.05<0.05结论α1b治疗儿童毛细支气管炎能使临床症状减轻,提高改善率及治愈率,病程缩短,且安全性较高。

       

      Abstract: Objective To investigate effectiveness and safety of early inhalation of recombinant human interferon α1b on children,s bronchiolitis. Methods bronchiolitis children treated in our department from November 2016 to January 2018 were randomly divided into early low-dose group, early high-dose group, late low-dose group, late high-dose group and control group. The control group was given symptomatic treatment; the early low-dose group received inhalation recombinant human interferon α1b 2ug/(kg.time), 2times/d, within 72 hours based on the control group; the early high-dose group received inhalation recombinant human interferon α1b 4ug/(kg.time), 2times/d, within 72 hours based on the control group; the late low-dose group received inhalation recombinant human interferon α1b 2ug/(kg.time), 2times/d, after 72 hours based on the control group; the late high-dose group received inhalation recombinant human interferon α1b 4ug/(kg.time), 2times/d, after 72 hours based on the control group. Each group was observed for 7 days, and the efficacy index, safety index, improvement rate and the disappearance time of clinical symptoms in each group were compared, and SPSS 19.0 software was used for statistical analysis. Results The cough score on day 7, the wheezing score on days 6-7, the three-depression signs score on days 3-5, the wheezing rale score on days 4-7, and total scores on days 6-7 in early high-dose group were significantly lower than those of control group(P<0.05<0.05<0.05<0.05<0.05α1b in treatment of children,s bronchiolitis can reduce clinical symptoms, improve the rate of improvement and cure rates, with no safety problem

       

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