阿奇霉素联合痰热清治疗小儿肺炎支原体肺炎疗效评价.docVIP

阿奇霉素联合痰热清治疗小儿肺炎支原体肺炎疗效评价 　　[摘要]目的 对阿奇霉素联合痰热清治疗小儿肺炎支原体肺炎的临床疗效进行评价。 方法 选择2012年1月～2013年1月在我院住院治疗的肺炎支原体肺炎患儿64例，在家属知情同意的基础上将64例肺炎支原体肺炎患儿随机分为两组，两组治疗前1周均未使用大环内酯类抗生素。两组患儿均予吸氧、退热、止咳、化痰等对症支持治疗，同时予以阿奇霉素进行抗炎治疗，观察组同时辅助痰热清注射液治疗，观察两组患儿治疗后的疗效以及两组患儿治疗前后的退热时间、止咳时间、肺部啰音消失时间及住院时间、不良反应。 结果 根据患儿的主要症状、体征、胸片、血象及病原学检查结果进行疗效评价，结果显示，观察组治疗后的疗效评价显示其总有效率达93.75%，对照组为75.00%，两组总有效率组间比较，差异有统计学意义（P 　　[关键词] 小儿肺炎支原体肺炎；阿奇霉素；联合；痰热清；疗效评价 　　[中图分类号] R725.6 [文献标识码] B [文章编号] 1673-9701（2013）32-0080-03 　　Clinical efficacy of Azithromycin and Tanreqing in treatment of children with mycoplasma pneumonia 　　LIU Jinping 　　Department of Pediatrics，the Seventh Peoples Hospital in Nanhai District of Foshan City in Guangdong Province，Foshan 528247，China 　　[Abstract] Objective To explore the clinical efficacy of Azithromycin and Tanreqing in treatment of children with mycoplasma pneumonia. Methods From January 2012 to January 2013 in our hospital，64 cases with mycoplasma pneumonia were randomly divided into two groups，two groups of children were not used treated macrolide antibiotics before treatment. Two groups of children were given oxygen， fever， cough， phlegm and other symptomatic and supportive therapy and azithromycin， and the observation group was given azithromycin and Tanreqing treatment，the treatment efficacy of two groups and the cooling time， time cough，pneumonia， rales disappeared time and length of stay before and adverse reactions after treatment were compared. Results Azithromycin and Tanreqing in treatment of children with mycoplasma pneumonia showed a good clinical efficacy， the total effective rate of observation group was 93.75%，the total effective rate of the control group was 75%， the difference was significant，and the cooling time， time cough， pneumonia，rales disappeared time and length of stay was shorter than the control group，the difference was significant.Conclusion Azithromycin and Tanreqing in treatment of children with mycoplasma pneumonia has significant clinical effects， can signifi