维生素D联合阿奇霉素佐治支原体肺炎疗效剖析.docVIP

维生素D联合阿奇霉素佐治支原体肺炎疗效剖析 　　[摘要] 目的 分析?S生素D联合阿奇霉素佐治支原体肺炎的疗效。方法 将本院2014年9月～2015年9月间收治的86例支原体肺炎患儿以随机法分为对照组与观察组，对照组给予阿奇霉素治疗，观察组在对照组的基础上联合应用维生素D进行治疗，治疗结束后评估并对比两组临床疗效，观察两组患儿咳嗽消失时间、退热时间、肺部??音消失时间以及住院时间四项临床指标并进行数据对比，统计治疗期间两组患儿不良反应发生率评估治疗安全性。结果 观察组治愈率为32.56%，总有效率为95.35%；对照组治愈率为13.95%，总有效率为79.07%；观察组临床疗效显著优于对照组（P0.01）。观察组患儿咳嗽、肺部??音消失时间、退热时间以及住院时间均显著少于对照组患儿（P0.01）。观察组不良反应发生率为4.65%，对照组不良反应发生率为20.93%，观察组不良反应、支原体感染再发生率明显低于对照组（P0.05）。随访一年，对照组支原体肺炎的再发生率为18.60%，观察组为4.65%，观察组支原体肺炎再发率明显低于对照组（P0.05）。结论 维生素D联合阿奇霉素佐治支原体肺炎可有效提高临床疗效，缩短临床症状康复时间，本病的临床治疗中有推广应用价值。 　　[关键词] 维生素D；支原体肺炎；阿奇霉素 　　[中图分类号] R518.9 [文献标识码] A [文章编号] 2095-0616（2017）10-31-04 　　Curative effect analysis of vitamin D combined with azithromycin in treatment of mycoplasma pneumonia 　　YE Mingyi CHEN Weizhong WANG Yu 　　Nanhai District Seventh Peoples Hospital， Foshan 528247， China 　　[Abstract] Objective To analyze the effect of vitamin D combined with Azithromycin on Mycoplasma pneumonia. Methods 86 cases of mycoplasma pneumonia in our hospital from September 2014 to September 2015 were selected and randomly divided into the control group and the observation group. Patients in the control group weretreated with azithromycin treatment， based on that， patients in the observation group were added the application of vitamin D treatment. After the treatment， the clinical efficacy of two groups was evaluated and compared.The children’ cough disappearing time， pyretolysis time， the pulmonary rales disappeared time and four clinical indicators in the hospitalization of the two group were observed， and the statistical data were compared.The incidence rate of the adverse reactions during the treatment of the two groups was statistical， in order to evaluate its safety. Results The cure rate of the observation group was 32.56%， the total effective rate was 95.35%， the cure rate of the control group was 13.95%， the total effective rate was 79.07%， and the clinical efficacy of the observation group was significantly better than that of the