首页|小儿肺咳颗粒联合阿奇霉素治疗小儿肺炎支原体肺炎的效果及对血清补体、Clara细胞分泌蛋白水平的影响

小儿肺咳颗粒联合阿奇霉素治疗小儿肺炎支原体肺炎的效果及对血清补体、Clara细胞分泌蛋白水平的影响

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目的 探究小儿肺咳颗粒联合阿奇霉素治疗小儿肺炎支原体肺炎的效果及对血清补体、Clara细胞分泌蛋白(CCSP)水平的影响。方法 选取2021年5月至10月收治的218例肺炎支原体肺炎患儿作为研究对象,根据治疗方案不同将其分为对照组和观察组,各109例。对照组采用阿奇霉素治疗,观察组在对照组基础上联合小儿肺咳颗粒治疗。比较两组的治疗效果。结果 治疗后,观察组的C-反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)及白细胞介素-6(IL-6)水平低于对照组(P<0。05)。观察组的发热、咳嗽、喘息及肺部啰音消失时间短于对照组(P<0。05)。治疗后,观察组的CCSP、补体C3及补体C4水平高于对照组(P<0。05)。观察组的治疗总有效率明显高于对照组(P<0。05)。两组的不良反应总发生率比较,差异无统计学意义(P>0。05)。结论 小儿肺咳颗粒联合阿奇霉素能够减轻小儿肺炎支原体肺炎患儿的炎症反应,缩短临床症状消失时间,提高免疫功能和临床效果,安全性较高。
Effect of Xiaoer Feike granules combined with azithromycin in the treatment of mycoplasma pneumoniae pneumonia in children and its influences on serum complement and Clara cell secretory protein levels
Objective To investigate the effect of Xiaoer Feike granules combined with azithromycin in the treatment of mycoplasma pneumoniae pneumonia in children and its influences on serum complement and Clara cell secretory protein(CCSP)levels.Methods A total of 218 children with mycoplasma pneumoniae pneumonia admitted from May to October 2021 were selected as the research objects and divided into control group and observation group according to different treatment schemes,with 109 cases in each group.The control group was treated with azithromycin,and the observation group was treated with Xiaoer Feike granules on the basis of the control group.The therapeutic effects of the two groups were compared.Results After treatment,the levels of C-reactive protein(CRP),tumor necrosis factor-α(TNF-α)and interleukin-6(IL-6)in the observation group were lower than those in the control group(P<0.05).The disappearance time of fever,cough,wheezing and pulmonary rales in the observation group were shorter than those in the control group(P<0.05).After treatment,the levels of CCSP,complement C3 and complement C4 in the observation group were higher than those in the control group(P<0.05).The total effective rate of treatment in the observation group was significantly higher than that in the control group(P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion Xiaoer Feike granules combined with azithromycin can reduce the inflammatory response in children with mycoplasma pneumoniae pneumonia,shorten the disappearance time of clinical symptoms,improve immune function and clinical efficacy,and have high safety.

Xiaoer Feike granulesazithromycinmycoplasma pneumoniae pneumoniacomplementClara cell secretory protein

章勇、孙娜、张素雅

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陕西省山阳县人民医院,陕西商洛,726400

西安交通大学第一附属医院,陕西西安,710061

小儿肺咳颗粒 阿奇霉素 肺炎支原体肺炎 补体 Clara细胞分泌蛋白

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(20)