中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2013年
12期
33-35
,共3页
肺炎%腹泻%儿童
肺炎%腹瀉%兒童
폐염%복사%인동
Pneumonia%Diarrhea%Child
目的 探讨双歧杆菌三联活菌散(培菲康)治疗小儿肺炎继发腹泻的临床疗效,寻找小儿肺炎继发腹泻的相关因素.方法 选择385例肺炎患儿作为研究对象,筛选肺炎继发腹泻的相关因素；120例肺炎继发腹泻患儿按随机数字表法分为观察组和对照组,每组60例,观察组给予培菲康联合常规治疗,对照组仅给予常规治疗,治疗7d后评价临床疗效.结果 观察组总有效率为96.7％(58/60),对照组为61.7％(37/60),两组比较差异有统计学意义(x2=22.282,P＜ 0.01).发病年龄、住院时间、侵入性操作、联合抗生素使用、激素使用、微生态制剂(培菲康)使用与小儿肺炎继发腹泻有关(P＜ 0.01或＜0.05).结论 年龄小、住院时间长、侵入性操作、联合抗生素使用、激素使用是小儿肺炎继发腹泻的危险因素.采用培菲康治疗小儿肺炎继发腹泻疗效确切,值得临床上推广应用.
目的 探討雙歧桿菌三聯活菌散(培菲康)治療小兒肺炎繼髮腹瀉的臨床療效,尋找小兒肺炎繼髮腹瀉的相關因素.方法 選擇385例肺炎患兒作為研究對象,篩選肺炎繼髮腹瀉的相關因素；120例肺炎繼髮腹瀉患兒按隨機數字錶法分為觀察組和對照組,每組60例,觀察組給予培菲康聯閤常規治療,對照組僅給予常規治療,治療7d後評價臨床療效.結果 觀察組總有效率為96.7％(58/60),對照組為61.7％(37/60),兩組比較差異有統計學意義(x2=22.282,P＜ 0.01).髮病年齡、住院時間、侵入性操作、聯閤抗生素使用、激素使用、微生態製劑(培菲康)使用與小兒肺炎繼髮腹瀉有關(P＜ 0.01或＜0.05).結論 年齡小、住院時間長、侵入性操作、聯閤抗生素使用、激素使用是小兒肺炎繼髮腹瀉的危險因素.採用培菲康治療小兒肺炎繼髮腹瀉療效確切,值得臨床上推廣應用.
목적 탐토쌍기간균삼련활균산(배비강)치료소인폐염계발복사적림상료효,심조소인폐염계발복사적상관인소.방법 선택385례폐염환인작위연구대상,사선폐염계발복사적상관인소；120례폐염계발복사환인안수궤수자표법분위관찰조화대조조,매조60례,관찰조급여배비강연합상규치료,대조조부급여상규치료,치료7d후평개림상료효.결과 관찰조총유효솔위96.7％(58/60),대조조위61.7％(37/60),량조비교차이유통계학의의(x2=22.282,P＜ 0.01).발병년령、주원시간、침입성조작、연합항생소사용、격소사용、미생태제제(배비강)사용여소인폐염계발복사유관(P＜ 0.01혹＜0.05).결론 년령소、주원시간장、침입성조작、연합항생소사용、격소사용시소인폐염계발복사적위험인소.채용배비강치료소인폐염계발복사료효학절,치득림상상추엄응용.
Objective To investigate the clinical effect of live combined bifidobacterium,lactobacillus and enterococcus powder (probiotics bifico) treatment in children with secondary diarrhea of pneumonia and analysis of related factors.Methods Three hundred and eighty-five pneumonia children were studied.The related factors of secondary diarrhea of pneumonia were screened.One hundred and twenty cases of children with secondary diarrhea of pneumonia were divided into observation group and control group by table of random digit with 60 cases each.The observation group was given the probiotics bifico combined with conventional treatment,the control group was given the conventional treatment.The clinical efficacy was evaluated treatment after 7 d.Results The effective rate of observation group was significantly higher than that of control group [96.7％(58/60) vs.61.7％(37/60),x2 =22.282,P＜ 0.01].Age of onset,hospitalization time,invasive procedures,combination therapy of antibiotics,therapy of hormone and therapy of probiotics bifico were related with the incidence of secondary diarrhea of pneumonia (P ＜ 0.01 or ＜ 0.05).Conclusions The younger children,long hospital stay,invasive procedures,combination therapy of antibiotics and therapy of hormone are the risk factors of secondary diarrhea of pneumonia.The probiotics bifico for treating the children with secondary diarrhea of pneumonia has exact clinical efficacy,and it is worthy of clinical application.
