首页|阿奇霉素不同给药途径治疗小儿支气管肺炎的不良反应研究

阿奇霉素不同给药途径治疗小儿支气管肺炎的不良反应研究

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目的 研究小儿支气管肺炎治疗中阿奇霉素不同给药途径的不良反应.方法 随机选取2020年2月—2023年2月济宁市兖州区人民医院收治的100例小儿支气管肺炎患儿为研究对象,依据阿奇霉素的不同给药途径分为静脉滴注后口服序贯治疗组(序贯治疗组)、静脉滴注组两组,每组50例.比较治疗效果、肺功能和不良反应情况.结果 两组患儿的治疗总有效率比较,差异无统计学意义(P>0.05).序贯治疗组患儿的潮气量、呼气峰值流速、第1秒用力呼气容积、用力肺活量均高于静脉滴注组,差异有统计学意义(P均<0.05),血沉、白细胞介素-6、降钙素原、C反应蛋白、血清淀粉样蛋白A水平均低于静脉滴注组,差异有统计学意义(P均<0.05).序贯治疗组患儿的不良反应总发生率为16.00%,低于静脉滴注组的36.00%,差异有统计学意义(χ2=5.198,P<0.05).结论 小儿支气管肺炎治疗中阿奇霉素静脉滴注后口服序贯治疗的不良反应较静脉滴注少.
Study on the Adverse Reactions of Different Routes of Administration of Azithromycin in the Treatment of Pediatric Bronchopneumonia
Objective To study the adverse reactions of different routes of administration of azithromycin in the treat-ment of pediatric bronchopneumonia.Methods A total of 100 children with bronchial pneumonia admitted to Jining Yanzhou District People's Hospital from February 2020 to February 2023 were randomly selected as the research ob-jects.According to different routes of administration of azithromycin,they were divided into oral sequential treatment group(sequential treatment group)and intravenous drip group,with 50 cases in each group.The therapeutic effect,lung function and adverse reactions were compared.Results There was no statistically significant difference in the to-tal effective rate of treatment between the two groups of children(P>0.05).The tidal volume,peak expiratory flow rate,forced expiratory volume at the first second,and forced vital capacity of children in the sequential treatment group were all higher than those in the intravenous infusion group,the differences were statistically significant(all P<0.05).The average levels of erythrocyte sedimentation rate,interleukin-6,procalcitonin,C-reactive protein,and serum amy-loid A were lower than those in the intravenous infusion group,the differences were statistically significant(all P<0.05).The total incidence of adverse reactions in the sequential treatment group was 16.00%,lower than 36.00%in the intravenous infusion group,and the difference was statistically significant(χ2=5.198,P<0.05).Conclusion Ad-verse effects of azithromycin intravenous drip followed by oral sequential therapy in the treatment of pediatric broncho-pneumonia were less than those of intravenous drip.

Pediatric bronchopneumoniaAzithromycinIntravenous dripOralLung functionInflammatory factorsAdverse reactions

刘艳春

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济宁市第三人民医院(济宁市兖州区人民医院)儿科,山东济宁 272100

小儿支气管肺炎 阿奇霉素 静脉滴注 口服 肺功能 炎症因子 不良反应

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(4)
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