对于患有喘脱补偿的儿童,使用或不使用雾化的标准药物治疗
Luísa Cunha1, Meritxell Roca Mora2, Farhan Afzal3
1Centro Universitario Lusiada, Rua Oswaldo Cruz, 179 - Boqueirão, Santos, SP, 11045-101, Brazil. luisacunha.marin@hotmail.com.
European journal of pediatrics
|March 16, 2024
概括
雾化硫酸在标准医疗治疗中添加时,在儿科喘恶化时,在呼吸速率和最高呼气流速方面提供了小但显著的改善. 这种辅助治疗没有增加儿童的不良事件.
科学领域:
- 儿科肺病学 儿科肺病学
- 临床药理学 临床药理学
背景情况:
- 硫酸具有支气管扩展性,用于静脉注射治疗喘恶化.
- 作为小儿喘恶化症的辅助疗法,雾化的证据有限.
研究的目的:
- 为了比较患有喘恶化的儿童接受雾化硫酸加标准医学治疗 (SMT) 和单独接受SMT的临床和功能结果.
主要方法:
- 在PubMed,Embase和Cochrane图书馆系统搜索随机临床试验 (RCT).
- 包括12个参与2484名儿童的RCT,分析了呼吸速率,心率,最大呼气流量率 (PEFR),强制呼气体积 (FEV1),氧和和需要静脉支气管扩展剂等结果.
主要成果:
- 接受的儿童在预测PEFR的百分比 (平均差异[MD]5.33%) 和较低的呼吸速率 (MD-0.70呼吸/分钟) 中呈现了统计学上显著的改善.
- 预测FEV1的百分比,心率,喘严重程度得分,氧气和IV支气管扩展剂的需要在两组之间没有显著差异.
结论:
- 雾化硫酸与SMT一起提供了统计学上显著的,尽管很小,改善了儿科喘恶化的PEFR和呼吸率.
- 添加雾化似乎没有增加不良事件.
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