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头孢哌酮舒巴坦联合阿奇霉素治疗小儿大叶性肺炎的疗效观察

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目的 探究小儿大叶性肺炎患儿采取头孢哌酮舒巴坦联合阿奇霉素治疗的疗效。方法 选取 2021 年 1 月至2023 年 7 月洛阳市中心医院 62 例小儿大叶性肺炎患儿,经随机数字表法均分为对照组与观察组,各 31 例,对照组给予阿奇霉素治疗,观察组在对照组基础上用头孢哌酮钠舒巴坦钠。比较两组治疗效果、临床症状持续时间、炎症反应因子和T淋巴细胞水平及不良反应率。结果 观察组的治疗有效率高于对照组,差异有统计学意义(P<0。05);观察组的咳嗽消失时间、退热时间、肺啰音消失时间和住院时间均少于对照组,差异有统计学意义(P<0。05);治疗后,观察组的C反应蛋白(CRP)、白介素-6(IL-6)及肿瘤坏死因子-α(TNF-α)水平低于对照组,差异有统计学意义(P<0。05),CD3+、CD4+水平高于对照组,CD8+则较低,差异有统计学意义(P<0。05);两组不良反应率比较差异无统计学意义(P>0。05)。结论 头孢哌酮舒巴坦联合阿奇霉素治疗小儿大叶性肺炎的疗效显著,可有效改善患儿的临床症状和炎症反应,提高免疫功能,安全可靠。
Observation on the therapeutic Effect of Cefoperazone Sulbactam combined with Azithromycin in the Treatment of Lobar Pneumonia in Children
Objective To explore the therapeutic effect of cefoperazone sulbactam combined with azithromycin in the treatment of pediatric lobar pneumonia.Methods A total of 62 pediatric patients with lobar pneumonia were selected from Luoyang Central Hospital from January 2021 to July 2023.They were randomly divided into control group and observation group using a random number table method,with 31 cases in each group.The control group was treated with azithromycin,while the observation group was treated with cefoperazone sulbactam in addition to the control group.The treatment efficacy,duration of clinical symptoms,levels of inflammatory response factors and T lymphocytes,and incidence of adverse reactions between two groups were compared.Results The effectiveness rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05);The cough disappearance time,fever reduction time,lung rale disappearance time,and hospitalization time of the observation group were all shorter than those of the control group,and the differences were statistically significant(P<0.05);After treatment,The level C-reactive protein(CRP),interleukin-6(IL-6),and tumor necrosis factor-α(TNF-α)in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).The levels of CD3+and CD4+were higher than those in the control group,while CD8+was lower,and the difference was statistically significant(P<0.05);There was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion The combination of cefoperazone sulbactam and azithromycin has a significant therapeutic effect on pediatric lobar pneumonia,which can effectively improve clinical symptoms and inflammatory reactions,enhance immune function,and is safe and reliable.

cefoperazone sulbactamazithromycinpediatric lobar pneumoniacurative effect

于华星、谢壮壮、孙洁

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洛阳市中心医院 儿科,河南 洛阳 471000

头孢哌酮舒巴坦 阿奇霉素 小儿大叶性肺炎 疗效

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(3)
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