探讨抗生素降阶梯治疗小儿重症肺炎效果观察.docxVIP

探讨抗生素降阶梯治疗小儿重症肺炎效果观察 大庆油田总医院163000 【摘 要】目的：研究并探讨抗生素降阶梯治疗小儿重症肺炎的临床效果。方法： 此次研究的对象是选择2011年3月?2014年4月笔者所在医院接收的小儿重症 肺炎患儿60例，将其临床资料进行回顾性分析，并按接诊编号分成两组(试验 组、对照组)，每组30例，试验组患儿给予抗牛素降阶梯治疗，对照组患儿给予 临床常用抗牛素药物治疗，比对两组患儿临床治疗效果。结果：试验组患儿临床 治疗好转率(96.7%)和对照组(76.7%)相比，差异有统计学意义(Plt;0.05)； 且试验组患儿住院时间、使用药物时间、病灶吸收率等相应指标和对照组相比, 差异均有统计学意义(Plt;0.05)o结论：临床借助抗牛素降阶梯治疗小儿重症 肺炎患儿，安全性高，可改善患儿临床现状，缩短住院时间，意义重大，值得使 用。 【关键词】抗生素降阶梯；重症肺炎；临床效果 [Abstract] Objective： To study and discuss the clinical effect of antibiotic therapy in children with severe pneumonia.Methods： the research object is the choice of the March 2011 ?2014 year in April in our hospital for children with severe pneumonia were received in 60 cases, the retrospective analysis of the clinical data, and according to the number of admissions were divided into two groups (experimental group and control group), 30 cases in each group, the test group were given antibiotic de escalation therapy, control group children were given antibiotics in clin ical drug treatme nt, two groups of clin ical curative effect comparis on .Results： the experimental group clinical improvement rate (96.7%) and control group (76.7%) compared to the d iff ere nee was statistically significa nt (Plt;0.05)； and the test group were hospitalized compared to time, drug use time, lesion absorption rate of the corresp onding in dex and the control group, the d iff ere nces were statistically significant (Plt;0.05) .Conclusion： clinical use of antibiotics in the treatment of children with severe pneumonia in children with severe pneumonia, high safety, can improve the clinical status of children, shorten the length of stay, significant, it is worth using. [Key words] antibiotic descending ladder； severe pneumonia； clinical effect 肺炎为临床儿科常见病，高烧、咳嗽等为疾病临床表现，如不给 予临床针对性早期治疗，将演变为重症肺炎，危害患儿生命健康⑴。近年来， 临床不断探索小儿重症肺炎的治疗方法，直到抗生素降阶梯问世，在该疾病治疗 上取得显著成效⑵。对此，本文将抽选笔者所在医院接收的小儿重症肺炎患儿 60例，分别给予不同方法治疗，旨在探讨抗生素降阶梯治疗效果，现报告如下。 1资料与方法 1.1 一般资料 抽选2011年3月-2014年4月笔者所在医院接收的小儿重症肺炎患儿 60例，按接诊编号分成两组(试验组、对照组)，每组30例，试