小兒肺炎支原體肺炎的臨床診治分析

【摘要】目的：通過分析小兒肺炎支原體肺炎的臨5月-4月94例肺炎支原體肺炎患兒作為47例。實(shí)驗(yàn)組患兒予以阿奇霉素聯(lián)合孟普司特鈉治療，95.7%明顯高于對(duì)照組的83.0%，2.1%17.0%，差別都有統(tǒng)（P<0.05X線胸片和實(shí)驗(yàn)室檢查來確診有重要意義，采用阿奇霉素聯(lián)中圖分類號(hào)R725.6文獻(xiàn)標(biāo)記碼B文章編號(hào)1674-6805（）14-0017-AnalysisofClinicalDiagnosisandTreatmentofMycoplasmaPneumoniaePneumoniainChildren/ZHANGYi-mei.//ChineseandForeignMedicalResearch17-【Abstract】Objective：Throughtheanalysisoftheclinicaldiagnosisandtreatmentofpediatricpneumoniamycoplasmapneumoniamethod，toconcludetheeffectivemethodsofdiagnosisandtreatment.Method：94casesofchildrenwithmycoplasmapneumoniaepneumoniaadmittedtoourhospitalfromMay toApril wereselectedastheresearchobjects，theyweredividedintotheexperimentalgroupandthecontrolgroupaccordingtotherandomnumbertablecasesineachgroup.TheexperimentalgroupwasgivenAzithromycincombinedwithMontelukastsodium，thecontrolgroupwasonlygivenAzithromycinfortreatment.Thetreatmenteffect，improvementofclinicalsymptomsandoccurrenceofadversereactionsbetweenthetwogroupswereobservedandcompared.Result：Aftertreatment，thedisappeartimeofcough，feverandlungsraleintheexperimentalgroupweresignificantlyshorterthanthoseinthecontrolgroup，thetotaleffectiverateoftheexperimentalgroup（95.7%）wassignificantlyhigherthanthecontrolgroup（83.0%，theincidenceofadversereactionsintheexperimentalgroup（2.1%）wassignificantlylowerthanthecontrolgroup（17.0%，thedifferenceswerestatisticallysignificant（P<0.05）.Conclusion：Theincidenceofpediatricmycoplasmapneumoniaepneumoniaishigher，earlydiagnosisandtimelytreatmentiscritical，combinedwithclinicalsymptoms，X-raychestradiographyandclinicallaboratoryexaminationisimportanttoidentify，thetreatmenteffectofAzithromycincombinedwithMontelukastsodiumisremarkable，isworthpopularizinginclinic.【KeywordsPediatricpneumoniapneumonia；ClinicaldiagnosisandFirst-author’saddress：MaternityandChildHealthCareHospitalofJianchuanCounty，Jianchuan671300，China小兒肺炎支原體肺炎的多發(fā)人群重要是5～15歲的小朋治辦法，選用94例肺炎支原體肺炎患兒作為研究對(duì)象，分析這94例患兒的診治辦法，現(xiàn)具體報(bào)告以下。 5月-49447472720例，年紀(jì)2～15歲，平均（6.7±5.2）2.5～11.0d，平均±3.1）d472918（P>0.05XIgM5dmg/（kg?d510mg/kg3d，3d4d，持續(xù)3周，3周為一療程。實(shí)驗(yàn)組實(shí)驗(yàn)組患兒均予以阿奇霉素聯(lián)合孟普司64mg/次。65mg/次，2次/d[4]，持4周，4周為一療程。兩組患兒其它的常規(guī)治療與護(hù)??音SPSS15.0軟件對(duì)所得數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析，計(jì)量資料用（x±s）t檢查，計(jì)數(shù)資料以率（%）2P<0.05為差別有統(tǒng)計(jì)學(xué)意義。2437例外周血白細(xì)胞升高，26外周血白細(xì)胞減少，20血沉增快，11例心肌酶譜增高。（P<0.05195.7%明顯高于對(duì)照組的83.0%2.1%17.0%，差（P<0.051兩組患兒臨床癥狀改善狀況比較??音消失時(shí)間實(shí)驗(yàn)組（n=47）3.1±1.22.9±0.64.3±1.6對(duì)照組（n=47）4.8±0.95.7±1.1t值7.769715.3199P值0.00000.000030%[6]，發(fā)病時(shí)間沒有季節(jié)性，5～15歲人群，其臨床癥狀重要體現(xiàn)為發(fā)熱、[7]X線胸片和實(shí)驗(yàn)室檢查來診療[8-10]，這樣確診率高，本文研究中，全部患兒均確診。生物[11][13-15]95.7%，明顯高于僅采用阿奇霉素治療的83.0%，差別有統(tǒng)計(jì)學(xué)意義（。核心，臨床上結(jié)合患兒臨床癥狀、X線胸片和實(shí)驗(yàn)室檢查確18（13）：46-張利.30例小兒肺炎支原體肺炎的臨床診治分析[J].11（2）：240-27（36）：5925-魏斌，李星星.91例小兒肺炎支原體肺炎的臨床診治27（27）