首页|盐酸氨溴索联合阿奇霉素、布地奈德、沙丁胺醇治疗小儿支原体肺炎的效果及对炎性因子水平的影响

盐酸氨溴索联合阿奇霉素、布地奈德、沙丁胺醇治疗小儿支原体肺炎的效果及对炎性因子水平的影响

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目的 探讨盐酸氨溴索联合阿奇霉素、布地奈德、沙丁胺醇治疗小儿支原体肺炎的效果及对炎性因子水平的影响。方法 择取2020 年11 月至2022 年8 月在我院就诊的96 例支原体肺炎患儿为研究对象,随机将其分为对照组和观察组,每组 48例。对照组采用阿奇霉素、布地奈德、沙丁胺醇治疗,观察组在对照组基础上加盐酸氨溴索治疗。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,观察组的干扰素-γ(IFN-γ)、免疫球蛋白E(IgE)、肿瘤坏死因子-α(TNF-α)及白细胞介素-8(IL-8)水平低于对照组(P<0。05)。治疗后,观察组的用力肺活量(FVC)、第 1秒用力呼气容积(FEV1)、呼气峰流速(PEF)占预计值百分比及潮气量(VT)高于对照组(P<0。05)。结论 盐酸氨溴索联合阿奇霉素、布地奈德、沙丁胺醇治疗小儿支原体肺炎不仅能够提升临床效果,抑制炎性因子,还能有效改善肺功能。
Effect of ambroxol hydrochloride combined with azithromycin,budesonide and salbutamol in the treatment of mycoplasma pneumonia in children and its influences on the levels of inflammatory factors
Objective To investigate the effect of ambroxol hydrochloride combined with azithromycin,budesonide and salbutamol in the treatment of mycoplasma pneumonia in children and its influences on the levels of inflammatory factors.Methods A total of 96 children with mycoplasma pneumonia who were treated in our hospital from November 2020 to August 2022 were selected as the research objects.The children were randomly divided into control group and observation group,with 48 cases in each group.The control group was treated with azithromycin,budesonide and salbutamol,and the observation group was treated with ambroxol hydrochloride 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 interferon-γ(IFN-γ),immunoglobulin E(IgE),tumor necrosis factor-α(TNF-α)and interleukin-8(IL-8)in the observation group were lower than those in the control group(P<0.05).After treatment,the forced vital capacity(FVC),forced expiratory volume in one second(FEV1),percentage of peak expiratory flow(PEF)to predicted value and tidal volume(VT)in the observation group were higher than those in the control group(P<0.05).Conclusion Ambroxol hydrochloride combined with azithromycin,budesonide and salbutamol in the treatment of mycoplasma pneumonia in children can not only improve the clinical effect,inhibit inflammatory factors,but also effectively ameliorate lung function.

ambroxol hydrochlorideazithromycinbudesonidesalbutamolchildrenmycoplasma pneumoniainflammatory factor

冯显显、王平

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西安高新医院儿科,陕西 西安,710075

盐酸氨溴索 阿奇霉素 布地奈德 沙丁胺醇 小儿 支原体肺炎 炎性因子

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(23)