高湿度与低湿度与雾治疗在急诊室的控制输送:一个随机对照试验
Dennis Scolnik1, Allan L Coates, Derek Stephens
1Division of Pediatric Emergency Medicine, The Hospital for Sick Children, and University of Toronto, Toronto, Ontario. dennis.scolnik@sickkids.ca
这项研究发现,高度的湿度并没有比标准方法更能改善儿童的形得分. 目前在急诊室使用的湿度治疗方法并没有得到这项研究的支持.
科学领域:
- 儿科急救医学 儿科急救医学
- 呼吸系统疾病 呼吸系统疾病
- 临床试验 临床试验
背景情况:
- 湿度是一种常见但未经证实的儿童治疗方法.
- 传统的"吹通"湿度提供了最小的好处.
- 针对喉沉积的有针对性的颗粒大小可能会提供理论上的优势.
研究的目的:
- 为了比较100%湿度与40%湿度和传统吹湿度在治疗中度至重度的有效性.
- 为了评估儿科患者韦斯利得分的变化.
主要方法:
- 随机,单盲,受控试验涉及140名儿童 (3个月至10岁) 患有中度至重度.
- 干预包括30分钟的传统吹风湿度,40%的湿度或100%的湿度与特定颗粒大小的干预.
- 主要结局是30分钟和60分钟的韦斯利得分的变化.
主要成果:
- 在100%湿度组和40%或30分钟或60分钟的吹风湿度组之间没有观察到韦斯特利得分改善的显著差异.
- 在生命体征,氧气和或需要进一步的医疗干预方面没有发现任何显著差异.
- 在所有湿度治疗组中,优秀反应者和需要药物治疗或住院治疗者的比例相似.
结论:
- 与喉沉积颗粒的高度湿度 (100%) 与较低度或传统方法相比,没有表现出比较高的疗效.
- 这项研究不支持在急诊室环境中常规使用湿度来治疗中度.
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