阿奇霉素序贯疗法治疗小儿肺炎支原体肺炎临床疗效观察.docVIP

阿奇霉素序贯疗法治疗小儿肺炎支原体肺炎临床疗效观察 　　【摘要】 目的 对阿奇霉素序贯疗法治疗小儿肺炎支原体肺炎的临床效果进行分析。方法 80例肺炎支原体肺炎患儿， 随机分为对照组和观察组， 各40例。两组患儿均给予常规治疗， 在此基础上对照组给予红霉素治疗， 观察组给予阿奇霉素序贯疗法治疗。比较两组患儿治疗效果及临床症状恢复情况。结果 观察组患儿治疗总有效率为97.5%， 显著高于对照组的85.0%， 差异具有统计学意义（P0.05）。观察组患儿发热消失时间、咳嗽消失时间、??音消失时间均短于对照组， 差异具有统计学意义（P0.05）。结论 阿奇霉素序贯疗法治疗小儿肺炎支原体肺炎的临床效果更加显著。 　　【关键词】 阿奇霉素；序贯疗法；肺炎支原体肺炎；临床疗效；小儿 　　DOI：10.14163/j.cnki.11-5547/r.2018.08.047 　　Observation on clinical efficacy of azithromycin sequential therapy in the treatment of mycoplasma pneumoniae pneumonia in children SHI Xiu-yan. Yingkou Traditional Chinese Medicine Hospital， Yingkou 115000， China 　　【Abstract】 Objective To analyze the clinical effect of azithromycin sequential therapy in the treatment of mycoplasma pneumoniae pneumonia in children. Methods A total of 80 children with mycoplasma pneumoniae pneumonia were randomly divided into control group and observation group， with 40 cases in each group. Both groups received conventional therapy， and the control group was also treated with azithromycin. The observation group was treated with azithromycin sequential therapy. Comparison were made on treatment effect and clinical symptom recovery status between the two groups. Results The observation group had significantly higher total treatment effective rate as 97.5% than 85.0% in the control group， and the difference was statistically significant （P0.05）. The observation group had shorter fever disappearance time， cough disappearance time， rales disappearance time than the control group， and their difference was statistically significant （P0.05）. Conclusion Azithromycin sequential therapy shows more remarkable clinical effect in treating mycoplasma pneumoniae pneumonia in children. 　　【Key words】 Azithromycin； Sequential therapy； Mycoplasma pneumoniae pneumonia； Clinical efficacy； Children 　　近年年?矸窝字г?体肺炎的发生率不断上升， 在小儿群体中尤为常见[1]。肺炎支原体肺炎是由于肺炎支原体所导致的呼吸道感染， 其呼吸道感染症状主要表现为支气管炎、肺炎、咽炎等， 常见临床症状表现为咳嗽、发热， 严重影响了患儿的健康成长[2， 3]。因此， 本文就阿奇霉素序贯疗法治疗小儿肺炎支原体肺炎的临床效果进行研究， 报告如下。 　　1 资料