首页|红霉素序贯法治疗支原体肺炎患儿的临床效果及血清细胞因子变化研究

红霉素序贯法治疗支原体肺炎患儿的临床效果及血清细胞因子变化研究

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目的 探讨在支原体肺炎患儿中采用红霉素序贯法的临床治疗效果和患儿的血清细胞因子的变化情况.方法 选取浙江省立同德医院检验科2015年1月~2017年3月104例支原体肺炎患儿,并分为2组,其中对照组采用常规的红霉素治疗法,治疗组采用红霉素序贯法,比较2组患者治疗后的临床治疗效果,症状消失时间、不良反应发生率和细胞因子变化.结果 治疗组的总有效率为98.1%,对照组的总有效率为84.3%,治疗组的总有效率显著高于对照组(P<0.05),治疗组的症状消失时间,如退热时间,咳嗽消失时间和肺部特征消失时间显著短于对照组(P<0.05).治疗组的不良反应发生率显著低于对照组(P<0.05).治疗前,2组患者的Hs-CRP、TNF-α和IL-8含量无显著性差异,治疗后治疗组的Hs-CRP、TNF-α和IL-8含量显著低于对照组(P<0.05).结论 采用红霉素序贯法治疗支原体肺炎患儿具有较好的临床效果,减少不良反应的发生.
Clinical effect of erythromycin sequential therapy and changes of serum cytokines in children with mycoplasma pneumonia
Objective To investigate the clinical efficacy of erythromycin sequential therapy in children with mycoplasma pneumonia and the changes of serum cytokines in children. Methods 104 patients with mycoplasma pneumonia were enrolled in Tongde Hospital of Zhejiang Province from January 2015 to March 2017. They were divided into two groups. The control group was treated with conventional erythromycin therapy. The erythromycin sequential method was used in the treatment group. Clinical treatment efficacy, the disappearance time of symptoms, the incidence of adverse reactions and changes in cytokines of two groups of patients after treatment were compared. Results The total effective rate was 98.1% in the treatment group and 84.3% in the control group. The total effective rate of the treatment group was significantly higher than that of the control group (P<0.05). The symptoms disappeared time, the time of disappearance of cough and the disappearance of lung features in the treatment group were significantly shorter than those of the control group (P<0.05). The incidence of adverse events in the treatment group was significantly lower than that in the control group (P<0.05). There was no significant difference in the levels of Hs-CRP, TNF-α and IL-8 in the two groups before treatment, after treatment, the levels of Hs-CRP, TNF-α and IL-8 in the treatment group were significant lower than those in the control group (P<0.05). Conclusion The application of erythromycin sequential therapy in the treatment of children with mycoplasma pneumonia has good clinical effect, could reduce the incidence of adverse reactions.

children with mycoplasma pneumoniaerythromycin sequential therapyclinical effectcytokines

陆玲娜、胡希文

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浙江省立同德医院 检验科,浙江 杭州 320012

杭州市第七人民医院 精神科,浙江 杭州 310013

支原体肺炎患儿 红霉素序贯法 临床效果 细胞因子

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(11)
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