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- 130 -①中宁县人民医院　宁夏　中宁　755100②宁夏回族自治区中医医院暨中医研究院孟鲁司特钠联合西替利嗪、特布他林雾化吸入治疗儿童社区获得性肺炎的效果田占国①　孙旭①　潘朝云②【摘要】　目的：探究孟鲁司特钠联合西替利嗪、特布他林雾化吸入治疗儿童社区获得性肺炎的效果。

方法：选取2021年1月—2022年1月宁夏回族自治区中宁县人民医院收治的102例社区获得性肺炎患儿作为研究对象。

根据电脑随机数法将其分为联合组和常规组，各51例。

常规组给予西替利嗪、特布他林雾化吸入治疗，联合组在常规组基础上给予孟鲁司特钠治疗。

比较两组临床疗效、时间指标及不良反应。

结果：联合组临床疗效优于常规组，总有效率高于常规组，差异有统计学意义（P <0.05）。

联合组喘息改善时间、咳嗽改善时间及肺部啰音改善时间均早于常规组，差异有统计学意义（P <0.05）。

两组不良反应发生率比较，差异无统计学意义（χ2=0.793，P =0.373）。

结论：孟鲁司特钠联合西替利嗪、特布他林雾化吸入治疗儿童社区获得性肺炎，可有效提高治疗效果，缩短临床症状恢复时间，安全性良好。

【关键词】　孟鲁司特钠　西替利嗪　特布他林　儿童社区获得性肺炎 doi：10.14033/ki.cfmr.2023.33.032 文献标识码　B 文章编号　1674-6805（2023）33-0130-04 Efficacy of Montelukast Sodium Combined with Cetirizine and Terbutaline Atomization Inhalation in the Treatment of Community-acquired Pneumonia in Children/TIAN Zhanguo, SUN Xu, PAN Chaoyun. //Chinese and Foreign Medical Research, 2023, 21(33): 130-133 [Abstract]　Objective: To explore the efficacy of Montelukast Sodium combined with Cetirizine and Terbutaline atomization inhalation in the treatment of community-acquired pneumonia in children. Method: A total of 102 children with community-acquired pneumonia treated in People's Hospital of Zhongning County from January 2021 to January 2022 were selected as the study objects. According to computer random number method, they were divided into combined group and conventional group, 51 cases in each group. The conventional group was given Cetirizine and Terbutaline atomization inhalation treatment, and the combined group was given Montelukast Sodium treatment on the basis of the conventional group. The clinical efficacy, time indexes and adverse reactions were compared between the two groups. Result: The clinical effect of combined group was better than that of conventional group, and the total effective rate was higher than that of conventional group, the differences were statistically significant (P <0.05). The improvement time of wheezing, cough and pulmonary rales in combined group were earlier than those in conventional group, and the differences were statistically significant (P <0.05). There was no significant difference in the incidence of adverse reactions between the two groups (χ2=0.793, P =0.373). Conclusion: Montelukast Sodium combined with Cetirizine and Terbutaline atomization inhalation in the treatment of children with community-acquired pneumonia can effectively improve the therapeutic effect, shorten the recovery time of clinical symptoms, and have good safety. [Key words]　Montelukast Sodium　Cetirizine　Terbutaline　Children with community-acquired pneumonia First-author's address: People's Hospital of Zhongning County, Zhongning 755100, China 儿童社区获得性肺炎的主要症状包括胸闷、气短及呼吸困难等。

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医院相关词汇表达（一）hospital 医院ambulance 救护车The ambulance arrived with a sick person.救护车带着一个病人来了。

emergency 急诊室This is an emergency room.这是一间急诊室。

operating room 手术室Doctors perform surgery in the operating room.医生在手术室进行手术。

ward 病房Sick people are staying in the ward.生病的人住在病房里。

doctor's office 医生办公室People visit the doctor's office to see a doctor.人们去医生办公室看病。

doctor 医生doctor's white coat 医生的白大褂Doctors wear white coats.医生穿白大褂。

stethoscope 听诊器This is a stethoscope.这是听诊器。

thermometer 温度计nurse 护士injection 注射Nurses give us injections.护士给我们打针。

Patients follow doctor's instructions.患者遵循医生的指示。

patient 病人Doctors and nurses take good care of patients.医生和护士会很好地照顾病人。

（二）general hospital综合医院Department of ophtalmology眼科children hospital儿童医院E.N.T.department耳鼻喉科tumour hospital肿瘤医院Department ofstomatology口腔科chest hospital 胸科医院Department ofurology泌尿科field hospital野战医院Department oforthopedic骨科isolationhospital隔离医院Department oftraumatology创伤科militaryhospital陆军医院Department ofendocrinology内分泌科municipalhospital市立医院Department ofanesthesiology麻醉科maternityhospital产科医院Department ofdermatology皮肤科mental hospital精神医院Department ofinfectious diseases传染病科infectioushospital传染医院Department ofpathology病理科leprosy hospital麻风医院Department ofpsychiatry精神科affiliatedhospital附属医院Department oforthopacdic surgery矫形外科traininghospital教学医院Department ofcardiac surgery心脏外科out-patientdepartment 门诊部Department ofcerebral surgery脑外科In-patientdepartment住院部Department ofthoracic surgery胸外科Nursingdepartment护理部Department ofplastic surgery矫形外科Admission office住院处Department ofphysiotherapy理疗科Discharge office出院处electrotherapyroom电疗科Registrationoffice挂号处heliotherapyroom光疗科Reception room,waitingroom侯诊室wax-therapy room蜡疗科Consultationroom诊察室hydrotherapyroom水疗科Isolation room隔离室centrallaboratory中心实验室Labour room待产室clinicallabororatory临床实验室Delivery room分娩室bacteriologicallabororatory细菌实验室Emergency room急诊室biochemicallabororatory生化实验室Ward病房室serologicallabororatory血清实验室Pharmacydispensary药房X-ray room X光室Nutritiondepartment营养部doctor’s office医生办公室Diet-preparation department配膳室nurse”s office护士办公室Therapeuticdepartment治疗室director of thehospital院长Operating room手术室 head of the nursing department护理部主任Blood-bank血站attending doctor主治医师Supply-room供应室resident doctor住院医师Disinfection-room消毒室intern doctor实习医师Dressing room 换药室chief physician主任医师Mortuary太平间associate chiefphysician副主任医师Record room病案室physician内科医师Department ofinternal medicine内科urologicalsurgeon泌尿外科医师Department ofsurgery外科neurosurgeon神经外科医师Department ofpediatrics儿科plastic surgeon矫形外科医师Department ofobstetrics and gynecology妇科anestheist麻醉科耳医师Department ofneurology神经科E.N.T.doctor耳鼻喉科医师Ophthalmolgist眼科医师Dentist牙科医师Dermatologist皮肤科医师Doctor fortuberculosis结核科医师Physiotherapist理疗科Doctor forinfectious diseases传染病科Dietician营养科医师Pediatrist儿科医师Obstetrician产科医师Midwife助产师Gynecologist妇科医师Orthopedist骨科医师Radiologist放射科医师Epidemiologist流行病医师Hygiemist卫生医师Pharmacist药剂医师Assistantpharmacist药剂医士X-raytechmicianX光技师Laboratorytechnician化验员Head nurse护士长Student nurse实习护士Assistant nurse卫生员Cleaner清洁员Controller总务科长Registrar挂号员Sanitationworker消毒员First visit初诊To attend theclinic复诊Out-call出诊Case history病历Sheet-for-casehistory病历袋Turnover of beds病床周转率Average ofhospital stay平均住院日数Ward round查房Consultation会诊Medicalcertification诊断书Certificationfor leave of absence病假证明Application forlaboratory examination 化验申请单Application forX-ray examinationX光申请单Requisition fordrugs领药单general hospital综合医院registration office 挂号处in-patient de 住院部nursing de 护理科waiting room 候诊室emergency room 急诊室admitting office 住院处X-ray de 放射科dispensary pharmacy 药房ward 病房laboratory 化验室（三）medical department 内科surgical department, department of surgery外科pediatrics department 小儿科obstetrics and gynecology 妇产科ophtalmology d 眼科dental department牙科ENT ear-nose-throat 耳鼻喉科urology 泌尿科dermatology department skin department 皮肤科orthopedic surgery de 矫形外科traumatology de 创伤外科plastic surgery 整形外科anesthesiology de 麻醉科pathology de 病理科cardiology de 心脏病科psychiatry de 精神病科orthopedics de骨科department of cardics surgery 心脏外科neurology 神经科（四）感冒cold咳嗽 cough发烧 Fever高烧 High Fever发冷 Chillsz发汗 Sweats盗汗 Night Sweats痛经menstrual pain偏头痛 migraine, splitting headache 鼻窦nasal passage耳鸣 tinnitus牙龈出血Bleading gums牙龈炎Gingivitis牙痛Toothache口腔溃疡Canker sore倦怠 Tireness失眠 Insomnia肩头发硬 Stiffness in Shoulder打喷嚏 Sneeze打嗝 Hiccup痒 Itch血尿 Bloody Urine浓尿 Pyuria粘液便 Mucous Stool粘土样便 Clay-Colored Stool验血 Blood Analysis昏迷coma痉挛 spasm晕眩 dizziness充血 congestion抽搐 convulsions 半身不遂 hemiplegia瘫痪 paralysis昏厥 syncope麻痺 palsy脑出血 cerebral bleeding脑积水 hydrocephalus休克 shock水腫 ropsy流血 bleeding腫脹 swelling脸潮 to flush黃疸 jaundice〔組織〕壞死 necosis过敏 allergy脓 pus化脓 to suppurate出血 hemorrhage硬块 lump发紫 cyanosis喀血 hemoptysis拉肚子 to have the runs內出血 internal hemorrhage肚子痛 abdominal pain失去意识 unconsciousness沒有胃口 loss of appetite吐血 to vomit blood腹部积水 ascites便秘constipation口臭bad breath昏倒fainting瞳孔放大 dilation of eye pupil腰疼 Low Back Pain 头疼 Headache牙疼toothache耳朵痛 earache背痛 backache嗓子痛 sore （五）痛 Pain (Ache)急性疼痛 Acute Pain激痛 Severe Pain钝痛 dull Pain压痛 Pressing Pain刺痛 Sharp Pain戳痛 Piercing Pain一跳一跳地痛 Throbbing Pain 针扎似的痛 Prickling Pain 烧痛 Burning Pain 裂痛 Tearing Pain持续痛 Continuous Pain 不舒服 Uncomfortable绞痛 Colic放射痛 Rediating Pain 溃烂痛 Sore Pain痉挛痛 Crampy Pain顽痛 Persistent Pain 轻痛 Slight Pain鼻充血nasal congestion皮疹rash喷嚏 sneeze恶心 nauseous蚊虫叮咬 insect bite 挫伤 bruise切伤 cut晒伤 sunbunt气泡 blister肿 swollen流鼻血 bloody nose扭伤 sprained食物中毒 food poisoning (botulism) （六）验血 Blood Analysis红血球 Red Cell白血球 White Cell呼吸数 Respiration Rate呼气 Expiration吸气 Inspiration呼吸困难 Difficulty in Breathing 不规则脉搏 Irregular Pulse慢脉 Bradycardia快脉 Rapid Pulse尿浑浊 Cloudy Urine蛋白质 Albuminuria糖尿 Glucosuria可能是这些情况：咽喉炎 strep throat水痘 chicken pox腮腺炎 mumps过敏 allergies哮喘 asthma结核 tuberculosis高血压high blood pressure肠道寄生虫 intestinal parasites肺炎pneumonia 肝炎 hepatitis膀胱 cystitisir急性胃炎 acute gastritis胃炎 gastrtritis气管炎 trachitis支气管炎 bronchitis阑尾炎 appendicitis胃肠炎 gastroenteritis乳腺炎 mastitis肿瘤 tumor癌症 cancer禽流感 bird flu白血病 leukemia艾滋病 AIDS流感 influenza白内障 cataract中风 stroke冠心病 coronary heart disease 糖尿病 diabetes肺癌lung cancer肝癌 liver cancer肝硬化 hepatocirrhosis心脏病 heart disease（七）Denque fever 登革熱influenza流行性感冒malaria疟疾typhoi伤寒tuberculosis (TB)肺結核measles痲疹cholera霍乱polio小兒麻痺症chicken pox水痘athlete's foot香港腳smallpox 天花leprosy痲瘋病rabies 狂犬病, 恐水症scarlet fever 猩紅熱typhus斑疹傷寒pertussis百日咳diphtheria白喉dysentery痢疾German measles德國麻疹relapsing fever回歸熱influenza流行性感冒plague鼠疫, 黑死病scabies 疥疮cerebral meningococcus 脑膜炎thrush 鵝口瘡hepatitis B B 型肝炎（八）1.Acetaminophen （泰诺）退烧消炎安全.儿童可用.但如果吃药时饮酒会损伤肝功能2.Ibuprofen 缓解疼痛3.Be Koool 退烧贴4.Loperamide 腹泻5.Probiotic 益生菌6.Meclizine晕车晕船用7.Neosporin Ointment 常用的抗菌药膏.主要用于治疗轻微皮肤割伤裂伤.8.Clotrimazole 真菌感染。

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