Nebulizer inhalation therapy is a treatment method that applies a nebulizer device to disperse drugs into tiny droplets in the form of aerosol spray, so that they are suspended in the gas and inhaled by the respiratory tract through the nose or mouth. The advantages are that the drugs can act directly on the lesion, the amount of drugs required is small, the onset of action is fast, and the drugs do not go through the liver and kidney circulation with few side effects, etc. It has been widely used in the treatment of pediatric respiratory-related diseases. I. Which diseases are suitable for nebulizer treatment: bronchial asthma, bronchitis, capillary bronchitis, infants and children with recurrent wheezing, mycoplasma pneumonia, cough variant asthma, allergic rhinitis, pharyngeal and laryngitis during acute attacks, post-infection cough, etc. must be treated by nebulizer inhalation; various other respiratory infectious diseases with difficulty in sputum removal, allergic diseases, diseases requiring airway humidification can be treated by nebulizer inhalation. Second, the choice of nebulizer There are two main types of nebulizer sold on the market, one is ultrasonic nebulizer and the other is air compression pump nebulizer inhalation machine. Ultrasonic nebulization is mainly used for the treatment of upper airway diseases, the diameter of the fog particles is 3.7-10.5mm, easy to deposit in the upper respiratory tract and atmospheric tract; inhalation time is long (10-30 minutes), heat production is easy to cause drug failure and other shortcomings are not recommended to buy. Air compressed pump nebulizer inhaler, fog particle diameter <5mm, easy to deposit in the lesion of the bronchi or alveoli to play a therapeutic role, short inhalation time (10-15 minutes), good drug efficacy and other advantages. Many parents think that "any machine that can emit fog can be used to treat cough". In fact, there are very strict requirements for nebulization to treat respiratory diseases in children, one is that the pressure should be very stable, and the second is that the size of the sprayed particles should be uniform, with a particle diameter of 2-5 mm, so that the drug can be deposited in the diseased bronchi or alveoli. The machine used for nebulization is not qualified is an important reason why many children with the same drug nebulization effect is not good. Commonly used drugs for nebulizer treatment 1.Budesonide suspension (0.5-1mg/time, 2-4 times a day) 2.Ipratropium bromide suspension (250ug/time, 2-4 times a day) 3.Tebuterine acid nebulizer (1ml/2.5mg, 2-4 times a day) The above is the regular treatment dose of nebulizer treatment, the doctor will adjust the treatment according to the condition of the child. Fourth, the choice of nebulization device 1, children over 7 years old are recommended to use mouth biter inhalation, first train the child to breathe in through the mouth and out through the nose. 2.Children under 7 years old should use a mask for inhalation, and the mask should cover the child's mouth and nose. V. Precautions for nebulization 1. Choose to inhale when the child is not crying and quiet. 2, do not apply oily cream before nebulization inhalation, newly opened nebulization mask first connect and then open the switch and blow 1-2 minutes after adding medicine. 3, nebulized inhalation to keep the nebulized jet cup upright, the upper body of the child to keep upright, increase the chance of gravity deposition of inhaled drugs to improve the therapeutic effect and prevent drugs from splashing into the eyes. 4, nebulizer inhalation process pay attention to observe the child's face and breathing, if there is purple lips, breathing faster or slower should immediately stop, do not force nebulizer treatment. 5.After nebulizer inhalation, clean the face, mouth and pharynx, gargle for older children, wipe the mouth with saline cotton balls for younger children, and let the child drink water or eat milk after 10 minutes. 6. After nebulized inhalation, tap the child's back with the palm of the empty hand from bottom to top and from outside to inside to promote sputum discharge. Six, nebulized inhalation equipment maintenance and maintenance 1, compressed air nebulizer use should be placed on a clean table, not on the carpet, bed, sofa and other dusty places, do not cover the machine. 2, nebulizing jet cup and nebulizing mask after use with 40 ℃ warm water to clean and dry for use (also available to add detergent cleaning or 500mg / L chlorine disinfectant soaked for half an hour, remember that the detergent or chlorine disinfectant must be rinsed clean to dry for use), remember not to boil, air conduit cleaning is not recommended. 3, the atomization jet cup is recommended to be replaced every 3-6 months.