首页|甲泼尼龙联合阿奇霉素治疗儿童肺炎支原体大叶性肺炎的效果观察

甲泼尼龙联合阿奇霉素治疗儿童肺炎支原体大叶性肺炎的效果观察

Effect of methylprednisolone combined with azithromycin in the treatment of Mycoplasma pneumoniae lobar pneumonia in children

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目的 研究分析甲泼尼龙联合阿奇霉素治疗儿童肺炎支原体大叶性肺炎的效果.方法 研究时间为2021年6月~2022年6月,在此段时间内选择80例本院收治的肺炎支原体大叶性肺炎患儿,通过随机对照试验的方式随机分为实验组和对照组两组,每组40例,对照组仅采用阿奇霉素治疗,实验组联合应用甲泼尼龙和阿奇霉素治疗,对两组临床治疗效果、临床指标及治疗前后疼痛程度进行评估.结果 治疗后,实验组患儿治疗总有效率为97.50%,明显高于对照组,差异具有统计学意义(P < 0.05).实验组患儿咳嗽缓解、退热、肺啰音消失、住院时间均短于对照组,差异具有统计学意义(P < 0.05).治疗前,实验组和对照组患儿视觉模拟评分差异无统计学意义(P > 0.05);治疗后,实验组患儿视觉模拟评分明显低于对照组,差异具有统计学意义(P< 0.05).结论 治疗儿童肺炎支原体大叶性肺炎联合应用甲泼尼龙和阿奇霉素,能够有效促进患儿恢复,改善患儿的临床指标,降低患儿的疼痛感.
Objective To study and analyze the effect of methylprednisolone combined with azithromycin in the treatment of mycoplasma pneumoniae lobar pneumonia in children. Methods The study period was from June 2021 to June 2022. During this period, 80 children with Mycoplasma pneumoniae lobule pneumonia admitted to our hospital were randomly divided into experimental group and control group by randomized controlled trial, with 40 cases in each group. The control group was treated with azithromycin only, while the experimental group was treated with methylprednisolone and azithromycin combined. The clinical therapeutic effect, clinical indicators and the degree of pain before and after treatment were evaluated. Results After treatment, the total effective rate of the experimental group was 97.50%, which was significantly higher than that of the control group, the difference was statistically significant (P<0.05). The experimental group of children with cough relief, fever, lung rales disappeared, hospitalization time were shorter than the control group, the difference was statistically significant (P<0.05). Before treatment, there was no significant difference in visual analog scores between the experimental group and the control group (P>0.05). After treatment, the visual analog score of the experimental group was significantly lower than that of the control group, and the difference was statistically significant (P<0.05). Conclusion The combination of methylprednisolone and azithromycin in the treatment of mycoplasma pneumoniae lobar pneumonia in children can effectively promote the recovery of children, improve the clinical indicators of children, and reduce the sense of pain in children.

mycoplasma pneumoniae lobar pneumonia in childrenMethylprednisoloneAzithromycin

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郯城县第一人民医院,山东 临沂 276100

儿童肺炎支原体大叶性肺炎 甲泼尼龙 阿奇霉素

2023

科学养生
中国医院管理杂志社

科学养生

影响因子:0.019
ISSN:1672-9714
年,卷(期):2023.26(3)
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