分析小儿肺炎支原体肺炎的诊治效果.docVIP

分析小儿肺炎支原体肺炎的诊治效果 　　[摘要] 目的 探讨小儿肺炎支原体肺炎的诊治方式及效果。 方法 整群选取该院2013年10月―2014年10月收治的支原体肺炎患儿120例作为研究对象，对其临床资料进行回顾性分析。所有患儿均采用颗粒凝集法对血清IgM抗体予以检测，按照诊治方法将所有患儿均分为对照组和观察组，各60例，其中对照组治疗药物为红霉素，观察组基于对照组加用阿奇霉素，对比两组临床疗效。结果 对照组总有效率为80.0%，明显低于观察组91.7%，差异有统计学意义（P0.05）；对照组不良反应发生率为11.7%，明显高于观察组1.7%，差异有统计学意义（P0.05）。 结论 对于小儿肺炎支原体肺炎一定要尽快诊断并制定科学治疗方案，以控制病情，避免对小儿正常生长发育产生不利影响。该组经研究后发现阿奇霉素相较于红霉素治疗小儿支原体肺炎疗效更优，且并发症更少，值得推广。 　　[关键词] 小儿肺炎；支原体肺炎；诊治体会 　　[中图分类号] R725.6 [文献标识码] A [文章编号] 1674-0742（2015）11（b）-0084-03 　　[Abstract] Objective To investigate the treatment approach and effect of pedo-mycoplasma pneumonia. Methods 120 children with pedo-mycoplasma pneumonia admitted to our hospital from October 2013 to October 2014 were selected as study objects and their clinical data were retrospectively analyzed. All patients were given particle agglutination for detecting serum IgM antibody and were divided into observation group and control group according to diagnoses and treatment method， 60 cases in each group. The control group was given erythrocin and observation group was given azithromycin based on control group. The clinical effect of the two groups was compared. Results Total efficiency rate of control group was 80.0%， obviously lower than that of observation group （91.7%）， and the difference was statistically significant （P0.05）； adverse reaction rate of control group was 11.7%， obviously higher than that of observation group （1.7%）， and the difference was statistically significant （P0.05）. Conclusion Early Diagnosis should be done early and scientific treatment plan should be created for children with pedo-mycoplasma pneumonia to control the disease and eliminate its negative impact on their normal growth. The study indicates that compared with erythrocin， azithromycin in treating pedo-mycoplasma pneumonia has better curative effect and fewer complications， and it is worthy of wide popularization. 　　[Key words] Pedopneumonia； Mycoplasma pneumonia； Experience in diagnose and treatment 　　在小儿社区获得