CAJ | 학술논문

目的：探讨肺炎支原体感染诱发小儿哮喘的临床特点及治疗疗效。方法回顾性分析我院收治的118例肺炎支原体感染诱发小儿哮喘患儿的临床资料。随机分成观察组和对照组，对照组给予阿奇霉素和红霉素治疗，观察组在对照组治疗的基础上给予喘乐宁治疗，比较两组治疗疗效及临床指标。结果观察组治疗总有效率为88.13%，对照组为71.19%。观察组治疗总有效率明显高于对照组，差异有统计学意义（P ＜0.05）。观察组患儿咳嗽消失时间，最大峰流速，抗体阳性率，复发率与对照组比较，差异均有统计学意义（P ＜0.05）。结论 MP 感染诱发小儿哮喘发热多见、咳嗽剧烈、喘息出现晚且持续时间长，对大环内酯类抗生素联合支气管扩张剂和糖皮质激素吸入治疗有效。
목적：탐토폐염지원체감염유발소인효천적림상특점급치료료효。방법회고성분석아원수치적118례폐염지원체감염유발소인효천환인적림상자료。수궤분성관찰조화대조조，대조조급여아기매소화홍매소치료，관찰조재대조조치료적기출상급여천악저치료，비교량조치료료효급림상지표。결과관찰조치료총유효솔위88.13%，대조조위71.19%。관찰조치료총유효솔명현고우대조조，차이유통계학의의（P ＜0.05）。관찰조환인해수소실시간，최대봉류속，항체양성솔，복발솔여대조조비교，차이균유통계학의의（P ＜0.05）。결론 MP 감염유발소인효천발열다견、해수극렬、천식출현만차지속시간장，대대배내지류항생소연합지기관확장제화당피질격소흡입치료유효。
Objective to explore the clinical features and treatment of children asthma induced by mycoplasma pneumonia infection. Methods of 118 cases treated in our hospital of children asthma induced by Mycoplasma pneumoniae clinical data. Were randomly divided into the observation group and the control group, the control group received the treatment of azithromycin and erythromycin, the observation group was given Ventolin treatment based on the control group treatment, clinical features and therapeutic effect were compared between the two groups. Results observation group treatment the total effective rate was 88.13%, the control group was 71.19%, total effective treatment observation group was obviously higher than that of control group, the difference was statistically significant (P < 0.05). Observation group of children with cough disappeared time, the maximum peak flow velocity, the antibody positive rate, recurrence rate compared with control group, the difference had statistical significance (P < 0.05). Conclusion MP infection induced acute see more children with asthma fever, coughing, wheezing appeared late and long duration, joint bronchodilator to large ring type of ester antibiotics and glucocorticoids inhalation therapy is effective.