首页|阿奇霉素结合布地奈德雾化用药对小儿重症肺炎症状控制情况及安全性研究

阿奇霉素结合布地奈德雾化用药对小儿重症肺炎症状控制情况及安全性研究

扫码查看
目的 探讨小儿重症肺炎治疗中应用布地奈德雾化结合阿奇霉素的治疗效果.方法 随机选取2022年4月—2024年3月三明市第二医院收治的110例小儿重症肺炎患儿为研究对象,根据不同的治疗方法分为对照组和研究组,各55例.对照组采取阿奇霉素治疗,研究组采取布地奈德雾化联合阿奇霉素治疗.评价各组症状缓解所需时间及住院时间、炎症相关指标、不良反应等.结果 研究组咳嗽缓解时间(7.90±1.21)d、体温复常时间(5.42±1.10)d、肺部啰音消失时间(10.23±2.22)d、住院时间(13.12±1.22)d均短于对照组的(11.49±2.07)d、(7.97±2.26)d、(14.01±2.25)d、(15.32±1.27)d,差异有统计学意义(t=11.104、7.524、8.869、9.265,P均<0.05).干预前,两组患儿的炎症相关指标对比,差异无统计学意义(P>0.05);干预后,两组患儿的炎症相关指标水平低于干预前,且研究组低于对照组,差异有统计学意义(P均<0.05).两组患儿的不良反应发生情况对比,差异无统计学意义(P>0.05).结论 阿奇霉素结合布地奈德雾化用药治疗小儿重症肺炎能够加快患儿症状缓解速度、减轻患儿机体炎症反应,提高其用药安全性.
Azithromycin Combined with Budesonide Nebulization for Symptom Con-trol and Safety in Children with Severe Pneumonia
Objective To investigate the therapeutic effect of budesonide nebulization combined with azithromycin in the treatment of severe pneumonia in children.Methods A total of 110 children with severe pneumonia admitted to Sanming Second Hospital from April 2022 to March 2024 were randomly selected as the research objects.According to different treatment methods,they were divided into control group and study group,with 55 cases in each group.The control group was treated with azithromycin,and the study group was treated with budesonide nebulization combined with azithromycin.The time required for symptom relief and Hospitalization,inflammation-related indicators,and ad-verse reactions were evaluated in each group.Results The cough relief time(7.90±1.21)d,body temperature recovery time(5.42±1.10)d,lung rale disappearance time(10.23±2.22)d and hospitalization time(13.12±1.22)d in the study group were shorter than those in the control group(11.49±2.07)d,(7.97±2.26)d,(14.01±2.25)d,(15.32±1.27)d,the differences were statistically significant(t=11.104,7.524,8.869,9.265,all P<0.05).Before intervention,there was no significant difference in inflammation-related indicators between the two groups(P>0.05);after intervention,the lev-els of inflammation-related indicators in the two groups were lower than those before intervention,and the study group was lower than the control group,the differences were statistically significant(all P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Azithromycin combined with budesonide nebulization in the treatment of severe pneumonia in children can accelerate the speed of symptom re-lief,reduce the inflammatory response of children,and improve the safety of medication.

Severe pneumonia in childrenBudesonideNebulization inhalationAzithromycin

郭翅、陈少华、张光林

展开 >

三明市第二医院,福建 三明 366000

小儿重症肺炎 布地奈德 雾化吸入 阿奇霉素

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(31)