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小儿肺炎应用阿奇霉素治疗的效果分析

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目的 分析小儿肺炎应用阿奇霉素治疗的效果。方法 120 例肺炎患儿作为研究对象,随机分为对照组和实验组,每组 60 例。对照组采用红霉素治疗,实验组采用阿奇霉素治疗。对比两组临床疗效、炎性因子[肿瘤坏死因子-α(TNF-α)、C反应蛋白(CRP)、白细胞介素-6(IL-6)]水平、肺功能指标[呼气流速峰值(PEF)、第 1 秒用力呼气容积(FEV1)、第 1 秒用力呼气容积与用力肺活量的比值(FEV1/FVC)]、不良反应发生率。结果 实验组治疗总有效率 96。67%高于对照组的 86。67%(P<0。05)。治疗后,实验组TNF-α(1。31±0。28)ng/ml、CRP(7。09±1。22)mg/L、IL-6(62。25±5。18)pg/ml均低于对照组的(2。26±0。30)ng/ml、(9。24±1。50)mg/L、(100。85±7。34)pg/ml(P<0。05)。治疗后,实验组PEF(4。05±0。58)L/s、FEV1(3。00±0。82)L、FEV1/FVC(80。55±5。38)%均高于对照组的(3。56±0。49)L/s、(2。05±0。46)L、(73。85±4。14)%(P<0。05)。实验组不良反应发生率 5。00%低于对照组的 16。67%(P<0。05)。结论 阿奇霉素的应用能够有效缓解肺炎患儿的临床症状,改善患儿的肺功能,降低患儿机体炎性因子水平,对提高患儿的治疗效果,降低不良反应的发生率有非常重要的作用。
Analysis of the effect of azithromycin in the treatment of pediatric pneumonia
Objective To analyze the effect of azithromycin in the treatment of pediatric pneumonia.Methods 120 children with pneumonia were selected as the study subjects,and the above children were randomly divided into a control group and an experimental group,with 60 cases in each group.The control group was treated with erythromycin,and the experimental group was treated with azithromycin.The clinical efficacy,inflammatory factors[tumor necrosis factor-α(TNF-α),C-reactive protein(CRP),interleukin-6(IL-6)],pulmonary function indicators[peak expiratory flow rate(PEF),forced expiratory volume in one second(FEV1),ratio of FEV1 to forced vital capacity(FEV1/FVC)]and incidence of adverse reactions were compared between the two groups.Results The total effective rate of the experimental group was 96.67%,which was higher than the control group's 86.67%(P<0.05).After treatment,the experimental group had TNF-α of(1.31±0.28)ng/ml,CRP of(7.09±1.22)mg/L,and IL-6 of(62.25±5.18)pg/ml,which were lower than(2.26±0.30)ng/ml,(9.24±1.50)mg/L,and(100.85±7.34)pg/ml in the control group(P<0.05).After treatment,the experimental group had PEF of(4.05±0.58)L/s,FEV1 of(3.00±0.82)L,and FEV1/FVC of(80.55±5.38)%,which were higher than(3.56±0.49)L/s,(2.05±0.46)L,and(73.85±4.14)%in the control group(P<0.05).The incidence of adverse reactions in the experimental group was 5.00%,which was lower than the control group's 16.67%(P<0.05).Conclusion The application of azithromycin can effectively alleviate the clinical symptoms of children with pneumonia,improve their lung function,reduce the level of inflammatory factors,and play a very important role in improving the therapeutic effect of children and reducing the incidence of adverse reactions.

Pediatric pneumoniaAzithromycinLung functionInflammatory factor level

刘丽歌、刘海艳

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450000 联勤保障部队第九八八医院医疗保障中心药剂科

450000 联勤保障部队第九八八医院医疗保障中心第三派驻门诊部

小儿肺炎 阿奇霉素 肺功能 炎性因子水平

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(9)