首页|头孢呋辛和阿莫西林克拉维酸钾分别联合布地奈德治疗儿童肺炎临床疗效观察

头孢呋辛和阿莫西林克拉维酸钾分别联合布地奈德治疗儿童肺炎临床疗效观察

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目的 探讨阿莫西林克拉维酸钾与头孢呋辛分别联合布地奈德治疗儿童肺炎的临床疗效.方法 选取2022年1月至2023年4月我院收治的儿童肺炎100例,根据治疗方案不同分为试验组52例(阿莫西林克拉维酸钾联合布地奈德治疗)和对照组48例(头孢呋辛联合布地奈德治疗).比较两组临床疗效,治疗前后C-反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)及白介素-6(IL-6)等炎症因子水平;治疗后呼吸道症状及影像学恢复时间;治疗后恶心、食欲不振、皮疹等不良反应发生情况.结果 治疗后两组疗效比较,差异无统计学意义(P>0.05);治疗后两组CRP、TNF-α及IL-6水平均改善,且试验组指标低于对照组(P<0.05);试验组呼吸道症状及影像学恢复时间均短于对照组(P<0.05);治疗后两组恶心、食欲不振、皮疹发生情况比较,差异无统计学意义(P>0.05).结论 采用阿莫西林克拉维酸钾与头孢呋辛分别联合布地奈德治疗儿童肺炎,阿莫西林克拉维酸钾疗效可观、安全,更加适用于儿童肺炎患者,可为儿童肺炎的临床治疗提供有效指导.
Observation on the clinical efficacy of cefuroxime and amoxicillin clavulanate potassium combined with budesonide in the treatment of pediatric pneumonia
Objective To explore the clinical efficacy of amoxicillin clavulanate potassium and cefuroxime combined with budesonide in the treatment of pediatric pneumonia.Methods A total of 100 children with pneumonia admitted to our hospital from January 2022 to April 2023 were selected.The sick children were divided into an experimental group(n=52)and a control group(n=48)according to different treatment regimen.The experimental group was treated with amoxicillin clavulanate potassium combined with budesonide.The control group was treated with cefuroxime combined with budesonide.The clinical therapeutic effect,levels of C-reactive protein(CRP),tumor necrosis factor-α(TNF-α),interleukin-6(IL-6)and other inflammatory factors before and after treatment were compared between the two groups.Respiratory symptoms and imaging recovery,nausea,loss of appetite and rash after treatment were also compared between the two groups.Results After treatment,there was no significant difference in curative effect between the two groups(P>0.05).After treatment,the levels of CRP,TNF-α and IL-6 in both groups were improved,and the levels in the control group were higher than those in the experimental group(P<0.05).After treatment,the time of respiratory symptoms and imaging recovery in the experimental group were shorter than that of the control group(P<0.05).There was no significant difference in the incidence of nausea,loss of appetite and rash between the two groups after treatment(P>0.05).Conclusions When amoxicillin clavulanate potassium and cefuroxime combined with budesonide respectively to treat the pediatric pneumonia,amoxicillin clavulanate potassium is effective and safe.It is more suitable for pediatric pneumonia patients.This can provide effective guidance for the clinical treatment of pediatric pneumonia.

Childhood pneumoniaAmoxicillin clavulanate potassiumCefuroximeBudesonideClinical effect

毕海霞、沈国民、周家俊、袁增权

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安徽省合肥市第八人民医院儿科,安徽 合肥 238000

儿童肺炎 阿莫西林克拉维酸钾 头孢呋辛 布地奈德 临床疗效

安徽省重点研究与开发计划项目

1704f0804023

2024

实用医院临床杂志
四川省医学科学院 四川省人民医院

实用医院临床杂志

CSTPCD
影响因子:1.179
ISSN:1672-6170
年,卷(期):2024.21(5)