首页|阿奇霉素联合布地奈德雾化吸入治疗小儿肺炎支原体感染的疗效及对免疫功能的影响

阿奇霉素联合布地奈德雾化吸入治疗小儿肺炎支原体感染的疗效及对免疫功能的影响

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目的 探讨肺炎支原体感染患儿联用阿奇霉素、布地奈德雾化吸入治疗的效果.方法 选取2021年1月—2023年11月涟水县妇幼保健院诊治的100例肺炎支原体感染患儿为研究对象,按随机数表法分为两组,每组50例.对照组应用阿奇霉素治疗,观察组再加布地奈德雾化吸入治疗,对比两组疗效、症状改善时间、免疫功能与不良反应发生情况.结果 观察组总疗效率高于对照组(96.00%vs 80.00%),差异有统计学意义(χ2=6.061,P<0.05).观察组患儿各项症状的改善时间均短于对照组,差异有统计学意义(P均<0.05).治疗后两组CD4+、CD4+/CD8+均升高、CD8+则下降,与对照组相比,观察组CD4+、CD4+/CD8+水平更高、CD8+水平更低,差异有统计学意义(P均<0.05).两组患儿用药期间不良反应发生率比较,差异无统计学意义(P>0.05).结论 肺炎支原体感染患儿在阿奇霉素基础上加用布地奈德雾化吸入治疗可提高疗效,改善患儿症状与免疫功能,且不良反应较少.
Efficacy of Azithromycin Combined with Budesonide Nebulized Inhalation in the Treatment of Pediatric Mycoplasma pneumoniae Infection and the Effect on Immune Function
Objective To investigate the effect of combined azithromycin and budesonide nebulized inhalation therapy in children with Mycoplasma pneumoniae infection.Methods 100 cases of children with Mycoplasma pneumoniae in-fection diagnosed and treated in Lianshui Maternal and Child Health Hospital from January 2021 to November 2023 were selected as the research objects,and were divided into two groups with 50 cases in each group according to the number table randomization method.The control group was treated with azithromycin,and the observation group was further treated with budesonide nebulized inhalation,the efficacy,symptom improvement time,immune function and occurrence adverse reactions of the two groups were compared.Results The total efficacy rate of the observation group was higher than that of the control group(96.00%vs 80.00%),and the difference was statistically significant(χ2= 6.061,P<0.05).The improvement time of each symptom of the children in the observation group was shorter than that of the control group,the differences were statistically significant(all P<0.05).CD4+,CD4+/CD8+ were elevated and CD8+ was decreased in two groups after treatment,compared with the control group,the observation group had higher levels of CD4+,CD4+/CD8+ and lower levels of CD8+,and the differences were statistically significant(all P<0.05).There was no statistically significance in comparing the rate of adverse reactions during medication in the two groups of children(P>0.05).Conclusion The addition of budesonide nebulized inhalation therapy to azithromycin in children with Mycoplasma pneumoniae infection can improve the efficacy,improve the symptoms and immune function of chil-dren,and have fewer adverse reactions.

AzithromycinBudesonideNebulized inhalation therapyPediatric Mycoplasma pneumoniae infectionClinical efficacyImmune function

花悦、张春

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涟水县妇幼保健院儿科,江苏涟水 223400

涟水县人民医院儿内科,江苏涟水 223400

阿奇霉素 布地奈德 雾化吸入治疗 小儿肺炎支原体感染 临床疗效 免疫功能

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(3)
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