首页|大剂量甲泼尼龙联合阿奇霉素治疗儿童多肺叶浸润支原体性肺炎疗效

大剂量甲泼尼龙联合阿奇霉素治疗儿童多肺叶浸润支原体性肺炎疗效

Efficacy of High-dose Methylprednisolone Combined with Azithromycin in Infiltrating Mycoplasma Pneumonia in Children

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目的:分析大剂量甲泼尼龙联合静脉注射用阿奇霉素治疗儿童多肺叶浸润的肺炎支原体性肺炎对症状改善时间、炎症指标、肺部影像学病灶吸收的影响.方法:选取2022 年 1 月至2024 年 1 月于东莞市横沥医院接受治疗多肺叶浸润的肺炎支原体性肺炎的80 例儿童患者为研究对象,并按随机数字表法分为观察组和对照组,各40 例.对照组患者给予静脉注射用阿奇霉素治疗,观察组患者在此基础上加用大剂量注射用甲泼尼龙;比较两组患者症状改善时间、炎症指标及肺部影像学病灶吸收率.结果:观察组患者各症状消失时间均短于对照组,差异具有统计学意义(P<0.05);治疗后观察组患者外周血白细胞计数(WBC)、中性粒细胞计数(NEUT)及血清C反应蛋白(CRP)、淀粉样蛋白A(SAA)、白细胞介素-6(IL-6)水平均较对照组低,差异具有统计学意义(P<0.05);观察组患者治疗总有效率高于对照组,差异具有统计学意义(P<0.05).结论:在治疗儿童多肺叶浸润型支原体性肺炎时,采用大剂量甲泼尼龙联合阿奇霉素的疗效确切,可有效改善儿童炎症指标水平.
Objective To analyze the impact of high-dose methylprednisolone combined with intravenous azithromycin on symptom improvement time,inflammatory indicators,and absorption of pulmonary imaging lesions in children with Mycoplasma pneumonia causing multiple lung lobe infiltration.Methods A total of 80 children with Mycoplasma pneumonia and multiple lung lobe infiltration who were treated at Dongguan Hengli Hospital from January 2022 to January 2024 were selected as the research subjects and randomly divided into an observation group and a control group,with 40 cases in each group.Patients in the control group were treated with intravenous azithromycin,while patients in the observation group were additionally treated with high-dose methylprednisolone.The time to symptom improvement,inflammatory indicators,and the rate of absorption of pulmonary imaging lesions were compared between the two groups.Results The time for symptoms to disappear in the observation group was shorter than that in the control group,with statistically significant differences(P<0.05).After treatment,the levels of white blood cell count(WBC),neutrophil count(NEUT),serum C-reactive protein(CRP),serum amyloid A(SAA),and interleukin-6(IL-6)in the observation group were lower than those in the control group,with statistically significant differences(P<0.05).The total effective rate of treatment in the observation group was higher than that in the control group,with a statistically significant difference(P<0.05).Conclusion The use of high-dose methylprednisolone combined with azithromycin is effective in the treatment of children with Mycoplasma pneumonia with multiple lung lobe infiltration,effectively improving the levels of inflammatory indicators.

Mycoplasma pneumoniaMultiple lung lobe infiltrationMethylprednisoloneAzithromycinChildren

卢耿城、陈洁霞、香翠雯

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东莞市横沥医院,广东 东莞 523460

肺炎支原体性肺炎 多肺叶浸润 甲泼尼龙 阿奇霉素 儿童

2024

深圳中西医结合杂志
深圳市中西医结合临床研究所

深圳中西医结合杂志

影响因子:0.692
ISSN:1007-0893
年,卷(期):2024.34(16)