Медицинский совет (Mar 2020)
Effectiveness of nebulizers in the treatment of respiratory tract infections in children of different ages
Abstract
Objective: to study the effectiveness of compressor nebulizers in the treatment of respiratory tract respiratory infections in children of different age groups.Material and methods: the main group consisted of 57 children - the average age was 9,7 ± 4,3 years, who were treated with nebulizer therapy using the compressor nebulizer during treatment, 32 children were included in the control group - the average age was 10,8 ± 4,7 years who have not been administered inhalation therapy. Along with conventional therapy, children of the main group underwent inhalation therapy using the compressor nebulizer in two modes, depending on the clinical symptoms of the patient: for bronchitis, the course was 5-6 days, for pneumonia - up to 8-9 days. Using the compressor nebulizer, physiological saline, ipratropium bromide, berodual, pulmicort, lasolvan were injected in a constant flow mode, and in cases of diagnosed rhinosinusitis, a pulsed aerosol delivery regime was used.Results: when analyzing the clinical picture, it was revealed that in all patients the process took a torpid course with prolonged unproductive cough, viscous sputum and persistently retained auscultatory data with insignificant changes in the general blood test. Analysis of the obtained data on the use of various treatment regimens for nosological forms of diseases in the examined children showed that in the patients of the main group the clinical symptoms of a combination of pulmonary diseases and rhino-sinusitis were stopped when applying the pulsating delivery regimen in terms of 6,1 ± 0,7 days (p<0.05), in cases of isolated variants of bronchitis and pneumonia, the use of a constant flow regime reduced the hospitalization of children to 82 ± 7,4% of the standard indicators of bed days.Conclusion: our own studies on the effectiveness of inhalation therapy in children revealed a wide range of clinical effects using the compressor nebulizer, regardless of the age of the patient: the clinical symptoms of a combination of pulmonary diseases and rhinosinusitis were stopped by using a pulsating delivery regimen in a shorter time compared to the control group without inhalation therapy, which reduced the hospitalization of children in the hospital.
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