首页|乙酰半胱氨酸雾化吸入联合阿奇霉素序贯疗法治疗小儿支原体肺炎的效果及对相关因子的影响

乙酰半胱氨酸雾化吸入联合阿奇霉素序贯疗法治疗小儿支原体肺炎的效果及对相关因子的影响

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目的 探讨乙酰半胱氨酸雾化吸入联合阿奇霉素序贯疗法治疗小儿支原体肺炎的效果及对血清淀粉酶样蛋白A(SAA)、人软骨糖蛋白-39(HC-gp39)与血清铁蛋白(SF)水平的影响。方法 选取2019年5月至2022年5月收治的68例支原体肺炎患儿为研究对象,按照随机数字表法将其分为对照组和观察组,各34例。对照组予以阿奇霉素序贯疗法,观察组在对照组治疗基础上联合乙酰半胱氨酸雾化吸入。比较两组的治疗效果。结果 观察组的治疗总有效率高于对照组(P<0。05)。治疗后,观察组的超氧化物歧化酶(SOD)、过氧化氢酶(CAT)水平高于对照组,脂质过氧化物(LPO)水平低于对照组(P<0。05)。治疗后,观察组的CD3+、CD4+高于对照组(P<0。05)。治疗后,观察组的SAA、HC-gp39及SF水平低于对照组(P<0。05)。结论 乙酰半胱氨酸雾化吸入联合阿奇霉素序贯疗法治疗小儿支原体肺炎的效果显著,不仅可以减轻氧化应激反应,改善免疫功能,也能下调SAA、HC-gp39及SF水平,值得应用及推广。
Effect of acetylcysteine aerosol inhalation combined with azithromycin sequential therapy on mycoplasma pneumonia in children and its influences on related factors
Objective To investigate the effect of acetylcysteine aerosol inhalation combined with azithromycin sequential therapy on mycoplasma pneumonia in children and its influences on serum amylase like protein A(SAA),human cartilage glycoprotein-39(HC-gp39)and serum ferritin(SF)levels.Methods A total of 68 children with mycoplasma pneumonia admitted from May 2019 to May 2022 were selected as the research objects and divided into control group and observation group according to the random number table method,with 34 cases in each group.The control group was treated with azithromycin sequential therapy,and the observation group was treated with acetylcysteine aerosol inhalation on the basis of the control group.The therapeutic effects of the two groups were compared.Results The total effective rate of treatment in the observation group was higher than that in the control group(P<0.05).After treatment,the levels of superoxide dismutase(SOD)and catalase(CAT)in the observation group were higher than those in the control group,and the level of lipid peroxide(LPO)was lower than that in the control group(P<0.05).After treatment,the CD3+and CD4+in the observation group were higher than those in the control group(P<0.05).After treatment,the levels of SAA,HC-gp39 and SF in the observation group were lower than those in the control group(P<0.05).Conclusion Acetylcysteine aerosol inhalation combined with azithromycin sequential therapy has significant effect in the treatment of mycoplasma pneumonia in children,it can not only reduce oxidative stress and improve immune function,but also down-regulate SAA,HC-gp39 and SF levels,which is worthy of application and promotion.

acetylcysteineaerosol inhalationazithromycinsequential therapymycoplasma pneumonia in children

卢娟毅、宋小地

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长安区妇幼保健计划生育服务中心儿科,陕西西安,710100

西安市中心医院药剂科,陕西西安,710004

乙酰半胱氨酸 雾化吸入 阿奇霉素 序贯疗法 小儿支原体肺炎

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)