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抗菌药物序贯治疗小儿肺炎的效果分析

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目的:探究对小儿肺炎患者实施抗菌药物序贯治疗的作用.方法:应用盲摸双色球法将 90 例肺炎患儿均分为序贯组和基础组;基础组行阿奇霉素治疗,序贯组给予序贯治疗;比较两组的相关指标.结果:两组治疗有效率比较,序贯组(97.78%)高于基础组(84.44%),组间对比差异显著(P<0.05);两组临床症状改善情况比较,发热消失时间(3.03±0.79 与 4.52±1.28)d、咳嗽消失时间(5.22±1.58 与 8.39±2.11)d、肺部啰音消失时间(4.35±1.67 与 7.04±2.11)d、气促消失时间(4.13±0.84 与 5.68±1.26)d、X线阴影消失时间(18.36±9.42 与24.39±12.01)d及住院时间(6.75±1.37 与 8.52±2.28)d序贯组均少于基础组,组间对比差异显著(P<0.05);两组炎性因子水平比较,hs-CRP(4.87±1.15 与 11.39±3.21)mg/L、PCT(0.05±0.02 与 0.09±0.04)pg/ml、WBC(3.02±0.85 与 3.87±0.65)×109/L、1 L-6(18.45±4.98 与 22.48±5.06)ng/L及TNF-(25.31±7.06 与36.94±8.01)mg/L序贯组水平均低于基础组,组间对比差异显著(P<0.05);两组不良反应发生率比较无统计学意义(P>0.05).结论:与单独应用阿奇霉素治疗比较,采用抗菌药物序贯治疗能显著提高肺炎患儿的治疗效果.
Analysis of the Effect of Sequential Treatment of Pediatric Pneumonia with Antibiotics
Objective:To determine the effect of sequential treatment with antibiotics on pediatric pneu-monia patients.Methods:90 children with pneumonia were evenly divided into a sequential treatment group and a basic group using the blind touch dichroism method;The basic group received azithromycin treatment,while the sequential treatment group received sequential treatment;clinical indicators between two groups were com-pared.Results:The effective rates of the two treatment groups were compared,and the sequential treatment group(97.78%)was higher than the base group(84.44%),with a significant difference between the groups(P<0.05).The improvement of clinical symptoms in the two groups was compared.The fever disappearance time(3.03±0.79 and 4.52±1.28)d,cough disappearance time(5.22±1.58 and 8.39±2.11)d,pul-monary rales disappearance time(4.35±1.67 and 7.04±2.11)d,shortness of breath disappearance time(4.13±0.84 and 5.68±1.26)d,X-ray shadow disappearance time(18.36±9.42 and 24.39±12.01)d and hospitalization time(6.75±1.37 and 8.52±2.28)d in the sequential group were all less than those in the basic group,the difference between the groups was significant(P<0.05).The levels of inflammatory fac-tors in the hs-CRP(4.87±1.15 and 11.39±3.21)mg/L,PCT(0.05±0.02 and 0.09±0.04)pg/ml,WBC(3.02±0.85 and 3.87±0.65)×109/L,1 L-6(18.45±4.98 and 22.48±5.06)ng/L and TNF-(25.31±7.06 and 36.94±8.01)mg/L sequential group were lower than those in the basic group,and the difference between the groups was significant(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:Compared with the use of azithromycin alone,sequential treatment with antibiotics can significantly improve the therapeutic effect in children with pneumonia.

Antibacterial drugsSequential treatmentPediatric pneumoniaInflammatory factor lev-elstreatment effect

邱茂龙、佘燕金、张玉杰

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尤溪县总医院儿科,福建 三明 365100

抗菌药物 序贯治疗 小儿肺炎 炎性因子水平 治疗效果

2024

黔南民族医专学报
黔南民族医学高等专科学校

黔南民族医专学报

影响因子:0.235
ISSN:1008-4983
年,卷(期):2024.37(1)
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