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阿奇霉素序贯疗法治疗小儿支原体肺炎的效果观察

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目的 探究小儿支原体肺炎患儿行阿奇霉素序贯疗法治疗的效果.方法 100 例小儿支原体肺炎患儿作为研究对象,依据随机数字表法分为对照组和观察组,各 50 例.两组患儿均采用常规治疗措施,在此基础上对照组采用红霉素静脉滴注治疗,观察组采用阿奇霉素序贯疗法治疗.比较两组患儿炎症因子指标、肺功能指标、症状缓解时间、不良反应发生率及临床疗效.结果 治疗后,观察组白细胞介素-6(IL-6)(11.93±2.43)pg/ml、超敏C反应蛋白(hs-CRP)(7.19±1.02)mg/L低于对照组的(16.75±2.82)pg/ml、(15.40±1.67)mg/L,差异具有统计学意义(P<0.05).治疗后,观察组第 1 秒用力呼气容积(2.01±0.59)L、用力肺活量(2.34±0.53)L高于对照组的(1.78±0.55)、(1.92±0.47)L,差异具有统计学意义(P<0.05).观察组血象恢复正常时间(6.32±0.79)d、咳嗽缓解时间(4.17±0.57)d、啰音消失时间(4.54±0.43)d、退热时间(1.68±0.39)d短于对照组的(8.21±0.96)、(6.05±0.84)、(8.63±1.06)、(3.40±0.62)d,差异有统计学意义(P<0.05).观察组不良反应发生率 4.00%低于对照组的 18.00%,差异有统计学意义(P<0.05).观察组总有效率98.00%高于对照组的86.00%,差异有统计学意义(P<0.05).结论 对小儿支原体肺炎患儿行阿奇霉素序贯疗法治疗的效果确切,可减轻患儿炎症反应,改善患儿肺功能,加快患儿症状缓解速度,安全性较高,推广可行性较高.
Effect observation of sequential azithromycin therapy on Mycoplasma pneumonia in children
Objective To investigate the effect of sequential azithromycin therapy on Mycoplasma pneumonia in children.Methods 100 children with Mycoplasma pneumonia were selected as study subjects and divided into a control group and an observation group according to random number table method,with 50 cases in each group.The children in both groups were treated with conventional treatment,on the basis of which the control group was treated with intravenous drip of erythromycin,and the observation group was treated with sequential azithromycin therapy.The indications of inflammatory factors and pulmonary function,symptom remission time,incidence of adverse reactions and clinical efficacy were compared between the two groups.Results After treatment,the interleukin-6 of(11.93±2.43)pg/ml and hypersensitive C-reactive protein(hs-CRP)of(7.19±1.02)mg/L in the observation group were lower than(16.75±2.82)pg/ml and(15.40±1.67)mg/L in the control group.The difference was statistically significant(P<0.05).After treatment,the forced expiratory volume in one second of(2.01±0.59)L and forced vital capacity of(2.34±0.53)L in the observation group were higher than(1.78±0.55)and(1.92±0.47)L in the control group.The difference was statistically significant(P<0.05).The observation group had hemogram recovery time of(6.32±0.79)d,cough relief time of(4.17±0.57)d,rale disappearance time of(4.54±0.43)d,fever subsidence time of(1.68±0.39)d,which were shorter than(8.21±0.96),(6.05±0.84),(8.63±1.06),(3.40±0.62)d in the control group.The difference was statistically significant(P<0.05).The incidence of adverse reactions in the observation group was 4.00%,which was lower than 18.00%in the control group,and the difference was statistically significant(P<0.05).The total effective rate of the observation group was 98.00%,which was higher than 86.00%of the control group,and the difference was statistically significant(P<0.05).Conclusion Sequential azithromycin therapy is effective in the treatment of children with Mycoplasma pneumonia,which can reduce the inflammatory response,improve the pulmonary function,accelerate the speed of symptomatic relief of children with high safety,and the feasibility of promotion is high.

Sequential azithromycin therapyMycoplasma pneumonia in childrenErythromycinPulmonary function

刘芹、陈营

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224002 扬州大学医学院附属盐城妇幼保健院

阿奇霉素序贯疗法 小儿支原体肺炎 红霉素 肺功能

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(3)
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