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阿奇霉素不同疗程治疗儿童肺炎支原体肺炎的有效性研究

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目的 探讨阿奇霉素不同疗程治疗儿童肺炎支原体肺炎(Mycoplasma Pneumoniae Pneumonia,MPP)的实际效果.方法 利用便利抽样法选取2021年8月—2023年5月冠县人民医院收治的92例儿童MPP患儿为研究对象,根据随机数表法分为A组和B组,各46例.两组患儿均使用阿奇霉素进行治疗,A组患儿连续治疗7 d作为第1个疗程,B组患儿连续治疗5 d作为第1个疗程.对比两组患儿的白细胞介素-6(Interleukin-6,IL-6)、降钙素原(Procalcitonin,PCT)、血清淀粉样蛋白A(Serum Amyloid A,SAA).结果 治疗后,A组患儿治疗总有效率高于B组(95.65%vs 80.43%),差异有统计学意义(χ2=5.060,P<0.05).A组患儿发热、咳喘及肺部阴影消退时间短于B组,差异有统计学意义(P均<0.05).治疗后,两组IL-6、PCT、SAA水平均低于治疗前,且A组低于B组,差异有统计学意义(P均<0.05).治疗期间,两组患儿不良反应总发生率对比,差异无统计学意义(P˃0.05).结论 阿奇霉素在儿童MPP治疗中可起到较为显著的治疗效果,适当延长第1个疗程的用药时间,可在一定程度上提升治疗效果,使患儿临床症状消退时间大大缩短,快速改善机体炎性反应,且具有较高的用药安全性.
Efficacy of Azithromycin in Treatment of Mycoplasma Pneumoniae Pneu-monia in Children
Objective To investigate the practical effect of azithromycin in the treatment of Mycoplasma pneumoniae pneumonia(MPP)in children.Methods A total of 92 children with MPP admitted to Guanxian People's Hospital from August 2021 to May 2023 were selected as the study objects by convenience sampling method,and were divided into group A and Group B according to random number table method,with 46 cases in each group.Children in both groups were treated with azithromycin,group A was treated for 7 d as the first course of treatment,group B was treated for 5 d as the first course of treatment.The levels of interleukin-6(IL-6),procalcitonin(PCT)and serum amyloid A(SAA)were compared between the two groups.Results After treatment,the total effective rate in group A was higher than that in group B(95.65%vs 80.43%),the difference was statistically significant(χ2=5.060,P<0.05).The time of fever,cough and wheezing and lung shadow resolution in group A were shorter than those in group B,the differences were statistically significant(all P<0.05).After treatment,IL-6,PCT and SAA levels in the two groups were lower than those before treatment,and group A was lower than those of group B,the differences were statistically significant(all P<0.05).During treatment,there was no statistically significant difference in the total incidence of adverse reactions be-tween the two groups(P>0.05).Conclusion Azithromycin can play a significant therapeutic effect in the treatment of MPP in children.Appropriately extending the duration of the first course of medication can improve the therapeutic ef-fect to a certain extent,greatly shorten the time for clinical symptoms to resolve in children,rapidly improve the in-flammatory response of the body,and has a high drug safety.

AzithromycinMycoplasma pneumoniaChild patient

孙海霞、曹西亚

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冠县人民医院儿科,山东聊城 252500

阿奇霉素 支原体肺炎 患儿

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(9)