Clinical efficacy of porcine pulmonary surfactant combined with budesonide suspension intratracheal instillation in the treatment of neonatal meconium aspiration syndrome / 中国当代儿科杂志
Chinese Journal of Contemporary Pediatrics
;
(12): 1237-1241, 2016.
Article
in Chinese
| WPRIM
| ID: wpr-340533
ABSTRACT
<p><b>OBJECTIVE</b>To study the clinical efficacy of porcine pulmonary surfactant (PS) combined with budesonide suspension intratracheal instillation in the treatment of neonatal meconium aspiration syndrome (MAS).</p><p><b>METHODS</b>Seventy neonates with MAS were enrolled for a prospective study. The neonates were randomly assigned to PS alone treatment group and PS+budesonide treatment group (n=35 each). The PS alone treatment group was given PS (100 mg/kg) by intratracheal instillation. The treatment group was given budesonide suspension (0.25 mg/kg) combined with PS (100 mg/kg).</p><p><b>RESULTS</b>The rate of repeated use of PS in the PS+ budesonide group was significantly lower than that in the PS alone group 12 hours after treatment (p<0.05). The improvement of PaO/FiO, TcSaO, PaO, and PaCOin the PS+ budesonide group was significantly greater than that in the PS alone group 6, 12, and 24 hours after treatment (p<0.05). The chest X-ray examination showed that the pulmonary inflammation absorption in the PS+ budesonide group was significantly better than that in the PS alone group 48 hours after treatment (p<0.05). The incidence of complications in the PS+budesonide group was significantly lower than that in the PS alone group (p<0.05), and the average hospitalization duration was significantly shorter than that in the PS alone group (p<0.01).</p><p><b>CONCLUSIONS</b>PS combined with budesonide suspension intratracheal instillation for the treatment of neonatal MAS is effective and superior to PS alone treatment.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Suspensions
/
Swine
/
Trachea
/
Pulmonary Surfactants
/
Meconium Aspiration Syndrome
/
Prospective Studies
/
Budesonide
/
Drug Therapy
/
Length of Stay
Type of study:
Observational study
Limits:
Animals
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Contemporary Pediatrics
Year:
2016
Type:
Article
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