孟鲁司特钠干预治疗小儿支原体肺炎的临床疗效观察.docxVIP

孟鲁司特钠干预治疗小儿支原体肺炎的临床疗效观察 郸县妇幼保健院儿科四川成都611730 【摘 要】目的：探讨孟鲁司特钠对小儿支原体肺炎的临床治疗效果。方法：收 集2015年6月至2016年6月入院的100例支原体肺炎患儿随机分为两组，对照 组患儿给予阿奇霉素治疗，实验组患儿则加服孟鲁司特钠，比较两组患儿总体治 疗效果、临床指标与不良反应。结果：实验组患儿总有效率明显高于对照组，存 在明显差异，具有统计学意义(Pt;0.05)；实验组患儿退热时间、咳嗽好转时 间与住院时间均显著性低于对照组，存在显著性差异，具有统计学意义 (Plt;0.01)；两组患儿复发率与不良反应发牛率不存在明显差异(Pgt;0.05)o 结论：孟鲁司特钠对小儿支原体肺炎的临床治疗效果显著，安全性较高，对临床 有借鉴意义。 【关键词】孟鲁司特钠；支原体肺炎；有效率 [Abstract] Objective： To investigate the clinical effect of the treatment of mycoplasma pneumonia in children with.method： Collect June 2015 to 2016 June admission of 100 cases of children with mycoplasma pneumonia were randomly divided into two groups, the control group was treated with azithromycin in the treatment of, patients in the experimental group and montelukast special sodium, two groups were compared with the overall treatment effect, clinical indicators and adverse reactions.Result： Patients in the experimental group the total efficiency was sign 讦 icantly higher tha n that of the con trol group, there are sign 讦 icant d iff ere nces, with statistical significance (P lt; 0.05)； experimental group of children with fever time, cough improved time and hospitalization time were sign讦icantly lower than that in the con trol group, there is signifies nt differe nee with statistical sigrdf icance (P lt; 0.01)； recurrenee rates for the two groups of children with adverse reactions occurred there was not significant differenee (P gt; 0.05) .Conclusion： The clinical effect of the treatment of mycoplasma pneumonia in children with Mycoplasma pneumoniae is sigrdficant, and the safety is high. [Key words] sodium, Mycoplasma pneumoniae, mycoplasma pneumonia, efficiency 支原体肺炎是儿童群体较为常见的呼吸系统疾病，泛指因感染肺炎支原 体而造成以发热、咳嗽、喘息与湿罗音为主要特点的综合症，如不给予及吋治疗， 将有可能造成脑炎、心肌炎与肾炎等严重并发症⑴。针对该病的治疗，临床上 主要以药物干预为主，而以阿奇霉素最为常见。为探讨孟鲁司特钠对小儿支原体 肺炎的临床治疗效果，将我院100例患儿进行临床观察，报道如下： 1.资料与方法 1.1 一般资料 收集2015年6月至2016年6月入院的100例支原体肺炎患儿随机分为 两组，每组50例。所有患儿均满足人卫第4版《儿科学》⑵与《支原体肺炎诊 断标准》[3]关于小儿支原体肺炎之诊断，并经肺部X线片确诊，同吋排除：(1) 药物禁忌症患儿；(2)营养不良或激素缺乏患儿；(3)伴发心血管、肝、肾功能 障碍