婴幼儿肺炎支原体肺炎并喘息的治疗分析.docVIP

精品论文 参考文献 婴幼儿肺炎支原体肺炎并喘息的治疗分析 陈用源 尤瑞峰 　　（佛山市顺德区顺德第一人民医院附属杏坛医院 528325） 　　【摘要】分析婴幼儿肺炎支原体肺炎并喘息的治疗效果。方法：选取我院收治的肺炎支原体肺炎并喘息患400例，按照数字随机法，随机将其分成实验组和对照组，对照组采取阿奇霉素序贯疗法联合布地奈德雾化吸入治疗，实验组采取阿奇霉素序贯疗法、布地奈德雾化吸入联合特布他林治疗，比较两组临床疗效。结果：实验组总有效率明显高于对照组，差异有统计学意义（P＜0.05）。实验组咳嗽平均消失时间、平均住院时间均短于对照组，差异有统计学意义（P＜0.05）。结论：阿奇霉素序贯疗法联合布地奈德雾化吸入、特布他林治疗小儿肺炎支原体肺炎具有显著的临床疗效，患儿症状缓解较快，临床价值较高。 　　【关键词】婴幼儿 肺炎支原体肺炎 喘息 　　【中图分类号】R725.6 【文献标识码】A 【文章编号】2095-1752（2013）36-0275-02 　　Analysis of the treatment of mycoplasma pneumonia in infants with wheezing 　　【Abstract】 Objective: to analyze the mycoplasma pneumonia in infants and breathing treatment effect. Methods: 400 cases of Mycoplasma pneumoniae pneumonia and wheeze in our hospital were selected, according to the random number method, randomly divided into the observation group and the control group, the control group taking Azithromycin Sequential Therapy Combined with budesonide inhalation treatment, the control group took the Azithromycin Sequential therapy, aerosol inhalation of budesonide combined with terbutaline treatment, compared the clinical efficacy two groups. Results: the total effective rate of observation group is obviously higher than that of the control group, the difference was statistically significant (P lt; 0.05). The observation group average cough disappeared time, hospitalization time was shorter than the control group, the difference was statistically significant (P lt; 0.05). Conclusion: Azithromycin Sequential Therapy Combined with inhalation of budesonide, terbutaline in the treatment of mycoplasma pneumonia in children has significant clinical efficacy, symptomatic relief faster, higher clinical value. 　　【Key words】 children mycoplasma pneumonia breathing 　　小儿肺炎支原体肺炎的主要病原为肺炎支原体，因此治疗一般采用大环类脂类抗生素，临床采用阿奇霉素治疗可获得良好的治疗预后，而联合布地奈德雾化吸入可提升阿奇霉素的治疗效果[1]。为使患儿临床症状得到更快的缓解以及追求更佳的疗效，本研究在联合用药的基础上加用特布他林帮助缓解临床症状，收到了满意效果，现报道如下。 　　1 资料与方法 　　1.1一般资料 　　我院自2011年12月-2013年12月收治的肺炎支原体肺炎并喘息患儿400例，按照数字随机法