中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2014年
14期
130-132
,共3页
小儿哮喘%感染%肺炎支原体%大环内酯类
小兒哮喘%感染%肺炎支原體%大環內酯類
소인효천%감염%폐염지원체%대배내지류
Infantile asthma%Infection%Mycoplasma pneumonia%Macrolide
目的：分析肺炎支原体感染诱发小儿哮喘的临床特点。方法将我院在2012年6月~2013年6月收治的53例肺炎支原体感染引起的哮喘患儿作为观察组，另选取同期收治的50例非肺炎支原体感染哮喘患儿作为对照组。对两组患者的临床资料进行回顾性分析。结果观察组患儿的发热、肺部炎症发生率均显著高于对照组（P<0.05）；对照组患儿的喘息持续时间为（10.5±4.2）d；观察组为（4.5±2.1）d，组间比较有统计学意义（P<0.05）；观察组的肺部炎症、肺部啰音、哮鸣音、间质性肺炎、支气管肺炎的发生率均显著高于对照组（P<0.05）。治疗3d内，观察组的喘息控制率显著高于对照组（P<0.05），住院时间显著长于对照组（P<0.05）。结论与普通哮喘相比，肺炎支原体感染所引起的小儿哮喘具有不同的临床特征，应用支气管扩张剂、皮质激素联合大环内酯类抗生素进行吸入治疗具有确切疗效。
目的：分析肺炎支原體感染誘髮小兒哮喘的臨床特點。方法將我院在2012年6月~2013年6月收治的53例肺炎支原體感染引起的哮喘患兒作為觀察組，另選取同期收治的50例非肺炎支原體感染哮喘患兒作為對照組。對兩組患者的臨床資料進行迴顧性分析。結果觀察組患兒的髮熱、肺部炎癥髮生率均顯著高于對照組（P<0.05）；對照組患兒的喘息持續時間為（10.5±4.2）d；觀察組為（4.5±2.1）d，組間比較有統計學意義（P<0.05）；觀察組的肺部炎癥、肺部啰音、哮鳴音、間質性肺炎、支氣管肺炎的髮生率均顯著高于對照組（P<0.05）。治療3d內，觀察組的喘息控製率顯著高于對照組（P<0.05），住院時間顯著長于對照組（P<0.05）。結論與普通哮喘相比，肺炎支原體感染所引起的小兒哮喘具有不同的臨床特徵，應用支氣管擴張劑、皮質激素聯閤大環內酯類抗生素進行吸入治療具有確切療效。
목적：분석폐염지원체감염유발소인효천적림상특점。방법장아원재2012년6월~2013년6월수치적53례폐염지원체감염인기적효천환인작위관찰조，령선취동기수치적50례비폐염지원체감염효천환인작위대조조。대량조환자적림상자료진행회고성분석。결과관찰조환인적발열、폐부염증발생솔균현저고우대조조（P<0.05）；대조조환인적천식지속시간위（10.5±4.2）d；관찰조위（4.5±2.1）d，조간비교유통계학의의（P<0.05）；관찰조적폐부염증、폐부라음、효명음、간질성폐염、지기관폐염적발생솔균현저고우대조조（P<0.05）。치료3d내，관찰조적천식공제솔현저고우대조조（P<0.05），주원시간현저장우대조조（P<0.05）。결론여보통효천상비，폐염지원체감염소인기적소인효천구유불동적림상특정，응용지기관확장제、피질격소연합대배내지류항생소진행흡입치료구유학절료효。
Objective To analyze the clinical characteristics of mycoplasma pneumonia infection induced infantile asthma. Methods Fifty-three pediatric patients with asthma induced by mycoplasma pneumonia infection admitted and treated in our hospital from Jun 2012 to Jun 2013 were assigned to the observation group and 50 children with asthma not induced by mycoplasma pneumonia infection admitted and treated in our hospital in the same period were assigned to the control group. Retrospective analysis was conducted on the clinical data of patients in both groups. Results The observation group had significantly higher incidence of fever and pulmonary inflammation than the control group (P<0.05). The duration of wheeze in the control group and the observation group was(10.5±4.2) d and (4.5±2.1) d respec-tively, with statistical significance (P<0.05). The observation group had significantly higher incidence of pulmonary in-flammation, pulmonary rale, wheezing rale, interstitial pneumonia and bronchopneumonia than the control group (P<0.05). The observation group had higher percentage of wheeze control than the control group within 3d after treatment(P<0.05). The observation group had significantly longer hospital stay than the control group (P<0.05). Conclusion Mycoplasma pneumonia infection induced infantile asthma has different clinical characteristics from ordinary asthma. Inhalation therapy of bronchodilators, cortical hormone combined with macrolide antibiotics demonstrates significant efficacy.
