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目的探讨酚妥拉明两种给药途径治疗小儿支气管肺炎合并充血性心力衰竭的疗效。方法选取2012年6月—2014年6月来江铜集团东铜医院儿科治疗的小儿支气管肺炎合并充血性心力衰竭患儿76例,分为对照组和观察组,各38例。观察组采用酚妥拉明静脉注射入壶的方法治疗,对照组采用酚妥拉明输液泵静脉滴注,比较两组疗效和临床症状消失时间。结果对照组总有效率高于观察组,喘息消失时间、肺部啰音消失时间短于观察组,差异有统计学意义(P<0.05);两组咳嗽消失时间比较,差异无统计学意义(P>0.05)。结论酚妥拉明输液泵静脉滴注治疗小儿支气管肺炎合并充血性心力衰竭具有疗效好、症状消失时间短、安全稳定的优点。
Objective To investigate the efficacy of phentolamine in treating bronchial pneumonia complicated with congestive heart failure in children. Methods From June 2012 to June 2014, 76 children with bronchial pneumonia complicated with congestive heart failure treated by pediatric bronchitis Dongtang Hospital were selected and divided into control group and observation group, with 38 cases in each group. The observation group was treated with intravenous injection of phentolamine into the jug. The control group received intravenous infusion of phentolamine infusion pump. The curative effect and disappearance of clinical symptoms were compared between the two groups. Results The total effective rate of the control group was higher than that of the observation group, wheezing disappeared time, the disappearance time of pulmonary rales was shorter than the observation group, the difference was statistically significant (P <0.05); there was no significant difference between the two groups in the disappearance time of cough P> 0.05). Conclusion Intravenous infusion of phentolamine infusion pump for children with bronchial pneumonia complicated with congestive heart failure has the advantages of good efficacy, short disappearance of symptoms, and safety and stability.