首页|头孢菌素类药物序贯疗法在小儿肺炎治疗中的应用

头孢菌素类药物序贯疗法在小儿肺炎治疗中的应用

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目的 观察头孢菌素类药物序贯疗法在小儿肺炎治疗中的应用效果及安全性.方法 选取 110 例肺炎患儿,按照随机数字表法分为两组,每组55 例.常规组予以常规药物治疗,序贯组予以头孢菌素类药物序贯治疗,比较两组的症状缓解时间、炎症因子、免疫指标改善情况、用药安全性及医疗成本.结果 治疗后,序贯组的咳嗽、吸气三凹征、发热等症状缓解时间均短于常规组,细菌清除率高于常规组,差异均有统计学意义(P<0.05);序贯组CD3+、CD4+的水平均高于常规组,CD8+水平低于常规组(P<0.05);序贯组的C-反应蛋白(CRP)、降钙素原(PCT)、白细胞介素-6(IL-6)的水平及药物相关不良反应发生率均低于常规组(P<0.05);序贯组的住院时间、总治疗时间均短于常规组,总医疗支出少于常规组(P<0.05).结论 头孢菌素类药物序贯疗法能加快肺炎患儿的康复进程,对增强机体免疫力、缓解炎症反应、提升用药安全性并减少医疗成本均有积极作用.
Application of sequential therapy of cephalosporin in children with pneumonia
Objective To observe the efficacy and safety of sequential therapy of cephalosporin in children with pneumonia.Methods 110 children with pneumonia were selected and divided into two groups using a random number table method,with 55 cases in each group.The conventional group were treated with routine drugs,and the sequential group were treated with cephalosporin.The symptom relief time,inflammatory factors,immune indicators,drug safety and medical costs of the two groups were compared.Results After treatment,the relief time of symptoms such as cough,inspiratory triple concave sign,and fever in the sequential group was lower than that in the conventional group,and the bacterial clearance rate in the sequential group was higher than that in the conventional group,with a statistically significant differences(P<0.05);the levels of CD3+and CD4+in the sequential group were higher than those in the conventional group,while the level of CD8+was lower than that in the conventional group(P<0.05);the incidence of C-reactive protein(CRP),procalcitonin(PCT),interleukin 6(IL-6)and drug-related adverse reactions in the sequential group were lower than those in the conventional group;the hospitalization time,total treatment duration,and total medical expenses of the sequential group were all lower than those of the conventional group(P<0.05).Conclusion The sequential therapy of cephalosporin can speed up the rehabilitation process of children with pneumonia,and has positive significance in enhancing the body immunity,alleviating inflammatory reaction,improving drug safety and reducing medical costs.

children with pneumoniacephalosporinsequential therapyrehabilitation processdrug safety

王静、陈茜

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驻马店市中心医院儿内一科,驻马店 463000

小儿肺炎 头孢菌素 序贯疗法 康复进程 用药安全性

河南省医学科技攻关计划

LHGJ202001127

2024

华夏医学
桂林医学院

华夏医学

影响因子:0.569
ISSN:1008-2409
年,卷(期):2024.37(2)
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