纳洛酮治疗小儿重症肺炎临床观察.docVIP

精品论文 参考文献 纳洛酮治疗小儿重症肺炎临床观察 武汉市黄陂区人民医院儿科 湖北武汉 430300 【摘 要】目的：观察纳洛酮治疗小儿重症肺炎的临床疗效。方法：随机抽取我院2015年9月-2016年10月呼吸科收治的小儿重症肺炎患者90例，分为治疗组和常规组，每组各45例。对于常规组患者给予常规抗感染、降温等常规治疗；对于治疗组患者在相同常规治疗基础上给予纳洛酮0.04mg/（kg.h）-0.08mg/（kg.h）静脉滴注治疗，以7天为一个疗程。治疗后观察两组患者的临床症状对比治疗效果。结果：治疗组总有效率为93.33%，常规组总起效率为77.78%；此外，治疗组总有效率为93.33%，常规组总有效率为75.56%。所有数据均符合统计学差异（Plt;0.05）。结论：纳洛酮在治疗小儿肺炎中具有起效时间快、治疗效果好的优点，值得推广。 【关键词】纳洛酮；重症肺炎；小儿 Naloxone in the treatment of children with severe pneumonia clinical observation Carrie lee （wuhan huangpi district peoples hospital of pediatrics Hubei wuhan 430300） 【 abstract 】 objective：to observe the clinical curative effect of naloxone treatment of children with severe pneumonia. Methods：randomly selected from September 2015 to October 2016 of 90 cases of children with severe pneumonia patients admitted in respiratory，divided into treatment group and routine group，each group 45 cases each. For conventional group patients give general anti-infection，cooling and other conventional treatment；For treatment group patients in the same routine therapy on the basis of naloxone for a 0.04 mg/kg.（h）to 0.08 mg/kg.（h）intravenous drip treatment，to 7 days for a period of treatment. Observe the two groups after treatment in patients with clinical symptoms compare the treatment effect. Results：treatment group total effective rate was 93.33%，the total efficiency of the routine group 77.78%；In addition，the treatment group total effective rate was 93.33%，the conventional group total effective rate was 75.56%. All data are in line with the statistical difference（P lt; 0.05）. Conclusion：naloxone in the treatment of infantile pneumonia has advantages of fast work time，good treatment effect，is worth promoting. 【 key words 】 naloxone；Severe pneumonia；pediatric 小儿肺炎是临床上常见于小儿的一种肺部疾病[1]，是由于感染肺炎支原体、流感病毒等其他多种病原体而引起的肺部炎症。一般表现为咳嗽、发热，肺部啰音等症状[2]。小儿由于机体抵抗力低下等原因容易感染病原体而发病，近年来该病的发病率呈上升趋势。小儿重症肺炎由于发病急骤、病情危急，容易并发其他严重疾病，对小儿生命健康威胁较大。因此，对于小儿重症肺炎应该采取积极有效的治疗。为了提高临床上小儿重症肺炎的治疗效果，此次我院将纳洛酮用于小儿重症肺炎患者的治疗，观察此治疗方