HIỆU CỦA CỦA KHÍ DUNG NATRICLORID 3% TRONG ĐIỀU TRỊ VIÊM TIỂU PHẾ QUẢN CẤP Ở TRẺ DƯỚI 2 TUỔI TẠI BỆNH VIỆN BẠCH MAI

Abstract

Objective: To evaluate the effectiveness of 3% sodium chloride aerosol method in the treatment of acute bronchiolitis in children under 2 years old at Bach Mai hospital. Subjects and methods: Prospective descriptive study, 441 patients under 2 years old, diagnosed with acute bronchiolitis, both groups were nebulized 3 times/day, 4ml each time. The NC group nebulized 3% sodium chloride, the control group nebulized 0.9% sodium chloride. The children were treated for other symptoms according to their clinical condition. Results: The number of children under 12 months in both groups accounted for 80%. The respiratory rate, heart rate and SpO2 after aerosolization of both groups decreased compared to the time of entry (p<0.05). The mean MCBS scores of the two groups were low with the mean score of the NC group of 1.45 ± 0.69 lower than that of the control group of 1.52 ± 0.67 (p<0.05). The symptoms of wheezing on day 3 and day 5, at the NC group was 64.49% and 19.2%, at the control group was 72.7% and 24.5%, respectively (p>0.05). The symptoms chest retraction on day 5, at the NC group was 2.89% and the control group was 3.6% with p<0.05. Conclusion: The 3% sodium chloride aerosol group had a greater improvement in MCBS score than the 0.9% sodium chloride aerosol group. The symptoms of wheezing, chest indrawing, crackles were reduced more in the group of 3% sodium chloride aerosol.