中华灾害救援医学2024,Vol.11Issue(7) :821-823.DOI:10.13919/j.issn.2095-6274.ZHJY202406025

头孢他啶联合阿奇霉素治疗小儿肺炎支原体肺炎的临床效果

Clinical Efficacy of Ceftazidime Combined with Azithromycin in the Treatment of Mycoplasma Pneumonia in Children

蔡思乾 张小秋 陈洪
中华灾害救援医学2024,Vol.11Issue(7) :821-823.DOI:10.13919/j.issn.2095-6274.ZHJY202406025

头孢他啶联合阿奇霉素治疗小儿肺炎支原体肺炎的临床效果

Clinical Efficacy of Ceftazidime Combined with Azithromycin in the Treatment of Mycoplasma Pneumonia in Children

蔡思乾 1张小秋 1陈洪1
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作者信息

  • 1. 564500 贵州遵义,仁怀市妇幼保健院
  • 折叠

摘要

目的 探索在小儿肺炎支原体肺炎的治疗中采取头孢他啶联合阿奇霉素方案的临床效果.方法 选取2023年1月至2024年1月贵州省遵义市仁怀市妇幼保健院收治的80例肺炎支原体肺炎患儿为研究对象,随机将患儿分为研究组(n=40)和对照组(n=40),对照组给予阿奇霉素静脉滴注治疗,研究组给予头孢他啶联合阿奇霉素静脉滴注治疗.结果 研究组患儿的临床有效率为97.50%,高于对照组的72.50%(P=0.002).研究组发热、咳嗽、肺啰音缓解所需时长及住院时长均比对照组短(P<0.001).治疗后,两组患儿炎症指标均改善(P<0.001),研究组患儿TNF-α、IFN-γ、IL-6、IL-8低于对照组患儿(P<0.001).研究组患儿不良反应发生率为7.50%,低于对照组的25.00%(P=0.034).结论 在小儿肺炎支原体肺炎的治疗中,采取头孢他啶联合阿奇霉素临床疗效显著,可有效促进临床症状的改善,减少炎症反应.

Abstract

Objective To explore the clinical efficacy of ceftazidimecombined with azithromycin in the treatment of mycoplasma pneumonia in children.Methods 80 children with Mycoplasma pneumonia admitted to Renhuai Maternal and Child Health Hospital in Zunyi City,Guizhou Province from January 2023 to January 2024 were selected as the study subjects.The children were randomly divided into the study group(n=40)and the con-trol group(n=40).The control group received intravenous infusion of azithromycin,while the study group received intravenous infusion of ceftazidimecombined with azithromycin.Results The clinical effective rate of the study group was 97.50%,which was higher than that of the control group(72.50%)(P=0.002).The study group had a shorter duration of fever,cough,relief of lung rales,and hospitalization compared to the control group(P<0.001).After treatment,the inflammatory indicators of both groups of children improved(P<0.001),and the levels of TNF-α,IFN-γ,IL-6,and IL-8 in the study group were lower than those in the control group(P<0.001).The inci-dence of adverse reactions in the study group was 7.50%,which was lower than that(25.00%)in the control group(P=0.034).Conclusion In the treatment of Mycoplasma pneumonia in children,the combination of ceftazidime-and azithromycin has significant clinical efficacy,effectively promoting the improvement of clinical symptoms and reducing inflammatory reactions.

关键词

小儿/支原体肺炎/头孢他啶/阿奇霉素/临床疗效

Key words

pediatrics/mycoplasma pneumoniae pneumonia/ceftazidime/azithromycin/clinical efficacy

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出版年

2024
中华灾害救援医学

中华灾害救援医学

影响因子:0.796
ISSN:
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