首页|盐酸溴己新联合阿奇霉素治疗小儿支原体肺炎的疗效及对患儿血清炎症因子水平的影响

盐酸溴己新联合阿奇霉素治疗小儿支原体肺炎的疗效及对患儿血清炎症因子水平的影响

扫码查看
目的 探讨盐酸溴己新联合阿奇霉素治疗小儿支原体肺炎的疗效及对患儿血清炎症因子水平的影响.方法 选取2015年7月~2016年6月宁波市镇海区中医医院收治的支原体肺炎患儿180例,依据随机数字表法分为观察组与对照组,每组90例.对照组患儿给予阿奇霉素治疗,观察组患儿在对照组基础上结合盐酸溴己新治疗.2组疗程均为12d.比较2组患儿治疗疗效、发热消退时间、咳嗽消失时间和肺部啰音消失时间,治疗前后血清炎症因子白介素-6(IL-6)、白介素-10(IL-10)、白介素-17(IL-17)和前降钙素原(PCT)水平变化,观察2组患儿不良反应发生情况.结果 观察组治疗有效率93.33%高于对照组82.23%,差异具有统计学意义(P<0.05);观察组患儿发热消退时间、咳嗽消失时间及肺部罗音消失时间均低于对照组,差异均有统计学意义(P<0.05);2组患儿治疗后血清IL-6、IL-17及PCT水平降低,IL-10水平增加,差异均具有统计学意义(P<0.05);观察组患儿治疗后血清IL-6、IL-17及PCT水平低于对照组,IL-10水平高于对照组,差异均具有统计学意义(P<0.05);2组患儿均未发生严重不良反应.结论 盐酸溴己新联合阿奇霉素治疗小儿支原体肺炎的疗效明显,且可降低血清炎症因子IL-6、IL-17、PCT水平及提高IL-10水平,减轻患儿炎症反应.
Effect of hydrochloric acid and azithromycin in the treatment of children with mycoplasma pneumonia and its effect on the level of serum inflammatory factors in children
Objective To investigate the effect of the treatment of children with mycoplasma pneumonia and the level of inflammatory factors in the serum of children with mycoplasma pneumonia. Methods 180 cases of mycoplasma pneumonia in our hospital from July 2015 to June 2016 were randomly divided into observation group and control group,90 cases in each group. The control group were treated with azithromycin,and the observation group were treated with combination of hydrochloric acid and bromine on the basis of control group. The course of the two groups were all 12 days.The efficacy of the treatment, fever subsided time, the disappearance time of cough and pulmonary rales, before and after treatment serum inflammatory factor interleukin-6 (IL-6),interleukin-10 (IL-10),interleukin-17 (IL-17) and procalcitonin (PCT) levels between two groups were compared,and the incidence of adverse reactions. Results The observation group treatment efficiency 93.33% was higher than the control group 82.23% (P<0.05); The observation group dissipated time of fever,cough disappeared time and pulmonary rales disappeared faster than the control group (P<0.05);After treatment,the levels of serum IL-6, IL-17 and PCT in two groups were decreased,the level of IL-10 increased,the difference was statistically significant (P<0.05); the level of serum IL-6, IL-17 and PCT in observation group were lower than the control group, while the level of IL-10 was higher than that of the control group, the difference was statistically significant (P<0.05);There were no significant differences in the adverse reactions between the two groups . Conclusion The curative effect of bromhexine hydrochloride combined with azithromycin in treatment of mycoplasma pneumonia in children, and can reduce the serum inflammatory cytokines IL-6, IL-17 and PCT level and increase the level of IL-10 and lessen inflammatory reaction, has important research significance.

new hydrochlorideAzithromycinmycoplasma pneumoniacurative effectinflammatory factor

雷兴丽、兰志建、徐军

展开 >

宁波市镇海区中医医院 儿科,浙江 宁波 315200

宁波大学医学院附属医院 儿科,浙江 宁波 315020

盐酸溴己新 阿奇霉素 支原体肺炎 疗效 炎症因子

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(1)
  • 37
  • 10