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支原体肺炎(mycoplasma pneumonia,MP)的发病率逐年上升,常常造成局部流行,对儿童健康造成严重威胁。过去常采用的治疗方法是静脉滴注红霉素,但该药疗程长,尤其是胃肠反应重,加上穿刺部位疼痛明显,易发静脉炎,患儿及家长不易接受,限制了该药的临床应用。山东省禹城市人民医院采用阿奇霉素治疗小儿MP,临床疗效满意,现报告如下。1资料与方法 1.1一般资料选择本院2011年1月~2012年12月治疗的且病例资料完整的108例MP患儿,其中,男性59例,女性49例,年龄1.5~12岁,平均年龄7.0岁;小儿MP的诊断标准参考《实用儿科学》(第7版):临床症状包括发热、咳嗽,有的患儿伴有胸闷、气喘、胸痛,肺部可闻及干、湿性啰音。肺炎支原体IgM抗体滴度1:80者60例,1:160者38例,1:320者10例。采用随机原则将患儿分为两组,阿奇霉素治疗组和红霉素治疗组(对照组)各54例,两组患儿的性别、年龄、
The incidence of mycoplasma pneumonia (MP) is increasing year by year, often causing local epidemics, posing a serious threat to children’s health. In the past often used treatment is intravenous infusion of erythromycin, but the long course of treatment, especially gastrointestinal reactions, coupled with obvious pain in the puncture site, prone to phlebitis, children and parents are not easy to accept, limiting the drug Clinical application. Yucheng People’s Hospital of Shandong Province azithromycin treatment of pediatric MP, clinical efficacy satisfactory, are as follows. 1 Materials and Methods 1.1 General Information Select our hospital from January 2011 to December 2012 treatment and complete case data of 108 cases of MP children, including 59 males and 49 females, aged 1.5 to 12 years, mean age 7.0 years; pediatric MP diagnostic criteria refer to “Practical Pediatrics” (7th Edition): Clinical symptoms include fever, cough, and some children with chest tightness, asthma, chest pain, lungs smell and dry and wet rales. Mycoplasma pneumoniae IgM antibody titers 1:80 in 60 cases, 1: 160 in 38 cases, 1: 320 in 10 cases. The children were divided into two groups according to the random principle, 54 cases of azithromycin treatment group and erythromycin treatment group (control group). The gender, age,