摘要
目的探讨肺炎支原体肺炎患儿的临床特征及诊治分析。方法入选我院2013年1月至2013年12月肺炎支原体肺炎患儿100例,对患儿的临床特征及诊治资料进行回顾分析。按治疗方法的不同分为两组,每组各50例。在常规治疗基础上,A组进行盐酸氨溴索注射液疗法,B组进行阿奇霉素序贯疗法。比较两组的临床效果、血氧饱和度(SaO2)、呼吸频率(RR)等指标的变化。结果 A、B两组的总有效率分为为82.0%、78.0%,两组间差异无统计学意义(P>0.05);治疗后A组的SO2、RR指标分别为(98.1±1.3)%、(24±1)次/分;B组的SaO2、RR指标分别为(97.9±1.4)%、(23±2)次/分,两组之间差异无统计学意义(P>0.05)。结论肺炎支原体肺炎患儿多数为学龄儿童,早期临床诊治对患儿的临床效果及预后有重要意义,可应用阿奇霉素序贯疗法及盐酸氨溴索注射疗法,临床效果确切,值得临床推广。
Objective To explore the clinical characteristics, diagnosis and treatment of mycoplasma pneumoniae pneumonia（MPP）in children. Methods 100 children with MPP in our hospital from January 2013 to December 2013 were selected. Clinical characteristics and data of diagnosis and treatment of the children were retrospectively analyzed. According to the different treatment methods, the children were divided into two groups, with 50 patients in each group. On the basis of conventional therapy, group A was treated with ambroxol hydrochloride injection, and group B received azithromycin sequential therapy. The clinical effect and oxygen saturation, respiratory frequency were compared between two groups. Results There was no significant difference in the total effective rate between group A and group B（82.0% and 78.0%, respectively）, P 0.05. After treatment, SO2and RR indicators were（98.1 ± 1.3）% and（24 ± 1） beats/min of group A respectively, and（97.9 ± 1.4）% and（23 ± 2） beats/min of group B respectively, and the differences between two groups were not statistically significant（both P 0.05）. Conclusions Most children with mycoplasma pneumoniae pneumonia are the school-age children,and early clinical diagnosis and treatment are important to clinical efficacy and prognosis. Sequential therapy of azithromycin and ambroxol hydrochloride injection therapy have exact clinical effect, which are worthy of clinical promotion.
出处
《临床医学工程》
2014年第5期599-600,共2页
Clinical Medicine & Engineering
关键词
诊治分析
临床特点
支气管肺炎
小儿
Analysis of diagnosis and treatment
Clinical characteristics
Bronchial pneumonia
Children
