红霉素联合阿奇霉素序贯疗法与单用阿奇霉素序贯疗法治疗小儿支原体肺炎对比分析.docVIP

红霉素联合阿奇霉素序贯疗法与单用阿奇霉素序贯疗法治疗小儿支原体肺炎对比分析 　　【摘要】 目的 在小儿支原体肺炎的治疗方法中， 对比红霉素联合阿奇霉素序贯疗法与单用阿奇霉素序贯疗法的疗效。方法 118例小儿支原体肺炎患儿， 依据入院先后顺序分为对照组与观察组， 每组59例。对照组患儿予以单用阿奇霉素序贯疗法治疗， 观察组患儿予以红霉素联合阿奇霉素序贯疗法治疗。观察、比较两组患儿临床疗效、住院时间、临床症状及体征消失时间、不良反应发生情况。结果 观察组患儿治疗总有效率98.3%高于对照组的79.7%， 差异具有统计学意义（P0.05）。?Y论 对小儿支原体肺炎患儿的治疗， 使用红霉素联合阿奇霉素序贯疗法除了可以提高治疗的疗效， 还可进一步缩短患儿临床症状、体征的改善用时， 降低药物不良反应的发生率， 是小儿支原体感染理想的治疗方法。 　　【关键词】 红霉素；阿奇霉素；序贯疗法；小儿支原体肺炎 　　DOI：10.14163/j.cnki.11-5547/r.2017.13.007 　　【Abstract】 Objective To compare the curative effect of erythrocin combined with azithromycin sequential therapy and simple azithromycin sequential therapy in treating mycoplasma pneumonia in children in treatment methods of mycoplasma pneumonia in children. Methods A total of 118 children with mycoplasma pneumonia were divided by admission order into control group and observation group， with 59 cases in each group. The control group received simple azithromycin sequential therapy for treatment， and the observation group received erythrocin combined with azithromycin sequential therapy for treatment. Observation and comparison were made on clinical curative effect， hospital stay time， clinical symptoms， signs disappearance time and occurrence of adverse reactions in two group. Results The observation group had higher total treatment effective rate as 98.3% than 79.7% in the control group， and the difference had statistical significance （P0.05）. Conclusion For children with mycoplasma pneumonia， combination of erythrocin and azithromycin sequential therapy can not only increase curative effect， but also can further shorten improvement time of clinical symptoms and signs， and reduce the incidence of adverse drug reactions. So it is an ideal treatment method for pediatric mycoplasma infection . 　　【Key words】 Erythrocin； Azithromycin； Sequential therapy； Mycoplasma pneumonia in children 　　小儿支原体肺炎属儿科常见的呼吸系统病症， 严重者会直接死亡[1]。因此， 本次研究就使用对比分析的方法， 研究单用阿奇霉素序贯疗法与红霉素联合阿奇霉素序贯疗法对小儿支原体肺炎患儿的治疗效果， 以期探索出疗效好、安全性高的治疗手段。 　　1 资料与方法 　　1. 1 一般资