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布地奈德联合孟鲁司特治疗儿童支原体肺炎的临床研究

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目的 探究治疗儿童支原体肺炎应用布地奈德联合孟鲁司特后效果.方法 选取2018年2月—2023年2月本院收治的95例支原体肺炎患儿为本次研究对象,并按照数字随机法将患者分为对照组(n=47)和观察组(n=48).对照组实施布地奈德治疗,观察组在对照组基础上实施孟鲁司特治疗,比较两组临床效果、临床指标、不良反应发生率、炎症因子水平.结果 两组治疗效果对比,观察组明显高于对照组(P<0.05).两组临床指标对比,治疗后观察组体温恢复正常时间、咳嗽消失时间、喘息消失时间、湿啰音消失时间均短于对照组,差异显著有统计学意义(P<0.05).两组不良反应发生率无明显差异(P>0.05).两组炎症因子水平,即白细胞计数(WBC)、C反应蛋白(CRP),治疗后观察组WBC、CRP低于对照组,差异显著有统计学意义(P<0.05).结论 在治疗儿童支原体肺炎患儿时,给予布地奈德联合孟鲁司特,效果较为显著,安全性高,在临床治疗上值得大范围推广与实施.
Clinical Study on Budesonide Combined with Montelukast in Treatment of Mycoplasma Pneumonia of Children
Objective To explore effect of budesonide combined with montelukast in treatment of pediatric mycoplasma pneumonia.Methods The paper chose 95 children with mycoplasma pneumoniae pneumonia admitted to our hospital from February 2018 to February 2023 as data analysis objects,and divided them into two groups:control group(n=47)and observation group(n=48)with digital randomization method.Control group was treated with budesonide treatment,while observation group with montelukast treatment on the basis of control group.Clinical effect,clinical indicators,incidence of adverse reactions and levels of inflammatory factors were compared between two groups.Results Comparison of treatment effect between two groups showed observation group accounted for 97.92%,while control group accounted for 87.23%,that of observation group was significantly higher than control group(P<0.05).Two clinical indicators were compared between two groups.After treatment,observation group had significantly shorter time of returning normal body temperature(1.38±0.39)days,cough disappearance time(6.09±1.51)days,wheezing disappearance time(4.21±1.01)days,and wet rale disappearance time(4.69±1.10)days than control group,with significant difference(P<0.05).There was no significant difference in incidence of adverse reactions between two groups(P>0.05).Comparison of levels of inflammatory factors showed,namely white blood cell count(WBC)and C-reactive protein(CRP),WBC was(6.43±1.70)* 109/L and CRP was(2.19±1.64)μg/L in observation group,significantly lower than control group(P<0.05).Conclusion Combination of budesonide and montelukast can achieve significant effect and high safety in treatment of mycoplasma pneumonia of children,which is worthy of promotion and application in a large scale in clinical treatment.

BudesonideMonlustMycoplasma pneumonia of childrenCurative effectAdverse reactions

王雯

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上海交通大学医学院苏州九龙医院 儿科,江苏 苏州 215028

布地奈德 孟鲁司特 儿童支原体肺炎 治疗效果 不良反应

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(2)
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