首页|布地奈德雾化吸入辅助阿奇霉素治疗对支原体肺炎患儿病情控制及CRP、WBC的影响

布地奈德雾化吸入辅助阿奇霉素治疗对支原体肺炎患儿病情控制及CRP、WBC的影响

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目的:探究布地奈德雾化吸入辅助阿奇霉素治疗对支原体肺炎(Mycoplasma pneumoniae pneumonia,MPP)患儿病情控制及C反应蛋白(C-reactive protein,CRP)、白细胞计数(White blood cells,WBC)的影响.方法:选取 2023 年 9 月~2024 年 1 月本院接收的 60 例MPP患儿作为研究对象,以随机数字表法分为观察组与对照组,各 30 例.对照组口服阿奇霉素治疗,观察组在对照组基础上联合使用布地奈德雾化吸入;比较两组临床症状、病情控制情况及CRP、WBC水平,并统计不良反应发生率.结果:治疗后,观察组患儿咳嗽、发热消失时间与对照组患儿咳嗽、发热消失时间相比,观察组消失时间短(P<0.05).治疗后,两组1 秒用力呼吸量(Forced expiratory volume in one second,FEV1)、用力肺活量(Forced vital capacity,FVC)、呼吸峰值流速(Peak expiratory flow,PEF)及用力呼吸 25%肺活量的呼气流量(Forced EF25,PEF25)水平均明显上升(P<0.05),观察组与对照组相比,FEV1、FVC、PEF及PEF25 水平更高(P<0.05).治疗前,两组CRP水平、WBC水平无统计学差异(P>0.05).治疗后,两组CRP水平和WBC计数均明显下降,且观察组明显低于对照组(P<0.05).治疗后,观察组的不良反应与对照组无明显差异(P>0.05).结论:布地奈德辅助阿奇霉素治疗MPP患儿,疗效应用显著,对于患儿临床症状具有较高疗效,无明显副作用,具有参考意义.
Effects of nebulized budesonide inhalation assisted azithromycin treatment on disease control,CRP and WBC in children with Mycoplasma pneumoniae pneumonia
Objective:To investigate the effects of nebulized budesonide inhalation assisted azithromycin treatment on disease control,C-reactive protein(CRP)and white blood cell count(WBC)in children with Mycoplasma pneumoniae pneumonia(MPP).Methods:Sixty children with MPP admitted to the hospital from September 2023 to January 2024 were selected as the study subjects,and assigned to the observation group and the control group using the random number table method,with 30 cases in each group.The control group was treated with oral azithromycin and the observation group was treated with nebulized budesonide inhalation on this basis.Clinical symptoms,disease control,CRP and WBC were compared between the two groups,and the incidence rates of adverse reactions were calculated.Results:After treatment,the time for cough and fever disappearing in the observation group was shorter than that in the control group(P<0.05).After treatment,forced expiratory volume in one second(FEV1),forced vital capacity(FVC),peak respiratory flow(PEF)and peak expiratory flow at 25%of vital capacity(PEF25)in both groups increased significantly(P<0.05).Compared to the control group,the observation group had higher FEV1,FVC,PEF,and PEF25(P<0.05).There was no statistically significant difference in CRP level or WBC between the two groups before treatment(P>0.05).After treatment,there were significant decreases in CRP level and WBC in both groups.Meanwhile,the two indicators in the observation group were lower than those in the control group(P<0.05).After treatment,adverse reactions in the two groups were comparable(P>0.05).Conclusion:Budesonide assisted azithromycin treatment is effective for children with MPP,which can effectively alleviate clinical symptoms,without significant side effects.

BudesonideAzithromycinMycoplasma pneumoniae pneumoniaC-reactive proteinWhite blood cell count

颜小芹、刘素云

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华东交通大学医院儿科,江西 南昌 330013

萍乡市人民医院儿科,江西 萍乡 337000

布地奈德 阿奇霉素 支原体肺炎 C反应蛋白 白细胞计数

2024

四川生理科学杂志
四川省生理科学会

四川生理科学杂志

影响因子:0.575
ISSN:1671-3885
年,卷(期):2024.46(7)