臀部,也被称为喉气管支气管炎,经常导致幼儿上呼吸道阻塞,出现症状,比如刺耳的声音,一种独特的咳嗽,吸入过程中呼吸嘈杂。尽管这是一个经常自行解决的条件,由于定期看医生,这给医疗保健资源带来了相当大的压力,急诊室使用情况,偶尔住院。针对更大人群的研究表明,只有一小部分有臀部的儿童最终需要入院治疗。根据2020年系统审查和荟萃分析(PRISMA)指南的首选报告项目,我们通过搜索数据库进行了细致的系统审查,比如PubMed,谷歌学者,还有Cochrane图书馆.共有10篇文章符合我们的纳入标准,并被选择进行深入分析。这些学术著作提供了对用于治疗臀部的药物的实质性见解。从临床的角度来看,臀部的管理在很大程度上取决于患者的血液动力学状态。我们的评论发现,与其他替代药物相比,皮质类固醇作为主要治疗干预措施的明显偏好。这在很大程度上被降级为二线或紧急应用。有趣的是,我们发现各种皮质类固醇治疗方案在统计学意义上的差异微不足道,强调了它们在改善病情方面的广泛效用。除了皮质类固醇,我们的审查还探讨了其他治疗选择,比如氦,肾上腺素雾化,甚至是自然干预,例如暴露于室外冷空气。这些治疗的疗效证明了不同的结果,强化了这样一种观念,即虽然它们在特定情况下可能有用,它们并不普遍适用,也不像皮质类固醇那样有效。鉴于大量证据支持皮质类固醇,有必要进行进一步的研究,以巩固其在不同医疗环境中作为一线治疗的地位,无论是住院医院,门诊诊所,甚至是家庭护理。这样的研究不仅会增加对当前医疗实践的信心,而且还可能优化治疗方案。有助于改善患者预后。因此,提高我们对皮质类固醇的有效性的认识,将其作为臀部管理的基石,仍然是一个至关重要的科学和临床领域.
Croup, also known as laryngotracheobronchitis, frequently leads to blockages in the upper respiratory tract in young children, presenting symptoms, such as a raspy voice, a distinctive cough, and noisy breathing during inhalation. Despite being a condition that often resolves on its own, it puts considerable strain on healthcare resources due to regular doctor visits, emergency room usage, and occasional hospital stays. Research focused on larger populations suggests that only a small percentage of children with croup end up requiring hospital admission for their condition. In line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines, we executed a meticulous systematic review by scouring databases, such as PubMed, Google Scholar, and the Cochrane Library. A total of 10 articles met our inclusion criteria and were selected for in-depth analysis. These scholarly works provided substantive insights into the pharmacological agents deployed in the treatment of croup. From a clinical standpoint, the management of croup is highly contingent on the patient\'s hemodynamic status. Our review discerned a pronounced preference for corticosteroids as the primary therapeutic intervention over other alternatives, which are largely relegated to second-line or emergency applications. Interestingly, we found negligible differences among the various corticosteroid treatment options in terms of statistical significance, underscoring their broad utility in ameliorating the condition. In addition to corticosteroids, our review also explored other therapeutic options, such as heliox, nebulized adrenaline, and even natural interventions, such as exposure to outdoor cold air. The efficacy of these treatments demonstrated variable results, reinforcing the notion that while they may be useful in specific circumstances, they are not universally applicable or as robustly effective as corticosteroids. Given the preponderance of evidence favoring corticosteroids, further research is warranted to solidify their status as the first-line treatment in different medical settings, be it inpatient hospitals, outpatient clinics, or even for home-based care. Such studies will not only add a layer of confidence in current medical practice but could also potentially optimize treatment protocols, contributing to improved patient outcomes. Therefore, advancing our understanding of the effectiveness of corticosteroids as the cornerstone of croup management remains an area of paramount scientific and clinical importance.