首页|多西环素治疗小儿支原体肺炎对炎症因子指标的影响评估

多西环素治疗小儿支原体肺炎对炎症因子指标的影响评估

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目的 探讨多西环素治疗儿童支原体肺炎的疗效.方法 方便选取2023年1月—2024年3月福建省邵武市立医院收治的108例支原体肺炎患儿为研究对象,根据不同用药方案分为对照组、研究组,每组54例.对照组使用阿奇霉素序贯疗法干预,研究组在此基础上联合应用多西环素.对比两组的临床症状缓解时间、炎性因子水平、不良反应发生情况.结果 研究组咳嗽缓解时间(4.52±0.32)d、退热时间(2.92±0.27)d、啰音持续时间(5.01±1.22)d、胸片病灶吸收时间(6.90±1.21)d、住院时间(9.29±1.26)d,均短于对照组的(6.20±1.16)d、(5.39±1.25)d、(7.18±1.41)d、(8.32±1.03)d、(11.48±1.14)d,差异均有统计学意义(t=10.259,14.193,8.552,6.567,9.471;P均<0.05).治疗后,两组炎症因子水平低于治疗前,研究组低于对照组,差异均有统计学意义(P均<0.05).两组不良反应总发生率对比,差异无统计学意义(P>0.05).结论 多西环素的应用可促进支原体肺炎患儿炎症因子改善,并且能够加快患儿各项临床症状与提升的改善速度,用药安全性较高.
Evaluation of the Effect of Doxycycline on Inflammatory Factor Indicators in the Treatment of Mycoplasma Pneumonia in Children
Objective To investigate the efficacy of doxycycline in the treatment of mycoplasma pneumonia in chil-dren.Methods A total of 108 children with mycoplasma pneumonia admitted to Shaowu Municipal Hospital of Fujian Province from January 2023 to March 2024 were conveniently selected as the research objects.According to different medication regimens,they were divided into control group and study group,54 cases in each group.The control group was treated with azithromycin sequential therapy,and the study group was treated with doxycycline on this basis.The clinical symptom relief time,inflammatory factor level and adverse reactions were compared between the two groups.Results The cough relief time(4.52±0.32)d,antipyretic time(2.92±0.27)d,rale duration(5.01±1.22)d,chest X-ray lesion absorption time(6.90±1.21)d and hospitalization time(9.29±1.26)d in the study group were shorter than those in the control group(6.20±1.16)d,(5.39±1.25)d,(7.18±1.41)d,(8.32±1.03)d and(11.48±1.14)d,the differences were statistically significant(t=10.259,14.193,8.552,6.567,9.471;all P<0.05).After treatment,the levels of inflam-matory factors in the two groups were lower than those before treatment,and the study group was lower than the con-trol group,the differences were statistically significant(both P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion The application of doxycycline can pro-mote the improvement of inflammatory factors in children with mycoplasma pneumonia,and can accelerate the im-provement of clinical symptoms and promotion of children,the safety of medication is high.

Mycoplasma pneumoniaDoxycyclineChildrenInflammatory factors

吴奇基、张芬、杨芳

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福建省邵武市立医院儿科,福建 邵武 354000

支原体肺炎 多西环素 儿童 炎症因子

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(34)