首页|小剂量甲泼尼龙联合阿奇霉素治疗支原体肺炎患儿的效果

小剂量甲泼尼龙联合阿奇霉素治疗支原体肺炎患儿的效果

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目的:观察小剂量甲泼尼龙联合阿奇霉素治疗支原体肺炎患儿的效果.方法:回顾性分析 2023 年该院收治的 80 例支原体肺炎患儿的临床资料,根据治疗方法不同将其分为对照组和观察组各 40 例.对照组给予阿奇霉素治疗,观察组在对照组基础上联合小剂量甲泼尼龙治疗.比较两组临床疗效、临床症状(发热、咳嗽)消失时间和住院时间,治疗前后炎性因子[C反应蛋白(CRP)、白细胞计数(WBC)]水平及不良反应发生率.结果:观察组治疗总有效率为 97.50%(39/40),高于对照组的 80.00%(32/40),差异有统计学意义(P<0.05);观察组发热、咳嗽消失时间及住院时间均短于对照组,差异有统计学意义(P<0.05);治疗后,两组CRP、WBC水平均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P<0.05).结论:小剂量甲泼尼龙联合阿奇霉素治疗支原体肺炎患儿,可提高治疗总有效率,缩短临床症状消失时间和住院时间,以及降低炎性因子水平,效果优于单纯阿奇霉素治疗.
Effects of low-dose Methylprednisolone combined with Azithromycin in treatment of children with mycoplasma pneumonia
Objective:To observe effects of low-dose Methylprednisolone combined with Azithromycin in treatment of children with mycoplasma pneumonia.Methods:The clinical data of 80 children with mycoplasma pneumonia admitted to this hospital in 2023 were retrospectively analyzed.According to the treatment methods,they were divided into control group and observation group,40 cases in each group.The control group was treated with Azithromycin,while the observation group was treated with low-dose Methylprednisolone on the basis of that of the control group.The clinical efficacy,the disappearance time of clinical symptoms(fever,cough),hospitalization time,the levels of inflammatory factors[C-reactive protein(CRP),white blood cell count(WBC)],and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of the observation group was 97.50%(39/40),which was higher than 80.00%(32/40)of the control group,and the difference was statistically significant(P<0.05).The disappearance time of fever,cough and the hospitalization time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the levels of CRP and WBC in the two groups were lower than those before the treatment,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups(P<0.05).Conclusions:Low-dose Methylprednisolone combined with Azithromycin in the treatment of the children with mycoplasma pneumonia can improve the total effective rate of treatment,shorten the disappearance time of clinical symptoms and the hospitalization time,and reduce the levels of inflammatory indicators.Moreover,it is superior to simple Azithromycin treatment.

Small doseMethylprednisoloneAzithromycinMycoplasma pneumoniaInflammatory factorAdverse reaction

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南昌市新建区人民医院儿科,江西 南昌 330100

小剂量 甲泼尼龙 阿奇霉素 支原体肺炎 炎性因子 不良反应

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(16)