首页|阿奇霉素联合孟鲁司特钠片对小儿支原体肺炎症状、肺功能及免疫功能的影响

阿奇霉素联合孟鲁司特钠片对小儿支原体肺炎症状、肺功能及免疫功能的影响

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目的 探讨阿奇霉素联合孟鲁司特钠片对小儿支原体肺炎症状、肺功能及免疫功能的影响。方法 选择 2021 年 1 月~2023 年8 月某院接诊的 98 例支原体肺炎患儿,采用抽签法随机分为两组。对照组 49 例,给予阿奇霉素治疗,观察组 49 例,在对照组基础上给予孟鲁司特钠片治疗。比较两组的症状改善时间、肺功能及免疫功能。结果 观察组的体温恢复正常时间、X线阴影消失时间、肺部啰音消失时间和咳嗽停止时间短于对照组(P<0。05);治疗前,两组的最大呼气中期流速(MMF)、最大肺活量(VCmax)、呼气峰值流量(PEF)、最大自主通气量(MVV)和第 1 秒用力呼气容积占预计值百分比(FEV1%)比较,差异无统计学意义(P>0。05),治疗后,两组的MMF、VCmax、PEF、MVV和FEV1%均明显升高,且观察组更高(P<0。05);治疗前,两组的免疫球蛋白A(IgA)、免疫球蛋白G(IgG)及免疫球蛋白M(IgM)水平比较,差异无统计学意义(P>0。05),治疗后,两组的IgA、IgM和IgG水平均明显升高,且观察组更高(P<0。05);两组患儿的恶心、肝功能异常、皮疹及腹部不适发生率比较,差异无统计学意义(P>0。05)。结论 阿奇霉素与孟鲁司特钠片联用能明显改善小儿支原体肺炎的症状、肺功能及免疫功能。
Effects of azithromycin combined with montelukast sodium tablets on symptoms,lung function and immune function in pediatric mycoplasma pneumonia
Objective To investigate the effect of azithromycin combined with montelukast sodium tablets on symptoms,lung function and immune function in pediatric mycoplasma pneumonia.Methods 98 children with mycoplasma pneumonia treated by a hospital from January 2021 to August 2023 were selected and randomly divided into two groups by lottery method.In the control group,49 patients were given azithromycin,and 49 patients in the observation group received montelukast sodium tablets on the basis of the control group.Symptom improvement time,lung function and immune function were compared between the two groups.Results The body temperature normalization time,X-ray shadow disappearance time,lung rales disappearance time and cough stop time in the observation group were shorter than that of the control group(P<0.05).Before treatment,there was no significant difference in MMF,VCmax,PEF,MVV and FEV1%between the two groups(P>0.05).After treatment,MMF,VCmax,PEF,MVV and FEV1%were significantly increased in both groups,and higher in the observation group(P<0.05).Before treatment,there was no significant difference in the levels of IgA,IgM and IgG between the two groups(P>0.05).After treatment,the levels of IgA,IgM and IgG in both groups were significantly increased,and the observation group was even higher(P<0.05).There was no significant difference in the incidence of nausea,liver dysfunction,rash and abdominal discomfort between the two groups of children(P>0.05).Conclusion The combination of azithromycin and montelukast sodium tablets can significantly improve the symptoms,lung function and immune function of pediatric mycoplasma pneumonia.

AzithromycinMontelukast sodium tabletsPediatric mycoplasma pneumoniaImmune functionPulmonary function

王旭颖

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乌鲁木齐市第一人民医院(乌鲁木齐儿童医院)儿内科,乌鲁木齐 830000

阿奇霉素 孟鲁司特钠片 小儿支原体肺炎 免疫功能 肺功能

2024

中国处方药
南方医药经济研究所

中国处方药

影响因子:0.649
ISSN:1671-945X
年,卷(期):2024.22(7)