基层医学论坛
基層醫學論罈
기층의학론단
PUBLIC MEDICAL FORUM MAGAZINE
2014年
28期
3775-3776
,共2页
住院儿童%抗生素相关性腹泻%临床分析%治疗
住院兒童%抗生素相關性腹瀉%臨床分析%治療
주원인동%항생소상관성복사%림상분석%치료
In hospital children%Antibiotic associated diarrhea%Clinical analysis%Treatment
目的：分析住院患儿抗生素相关性腹泻（AAD）的临床症状、辅助检查及治疗方法。方法对我院2010年6月-2012年6月收治的46例抗生素相关性腹泻患儿的临床资料进行回顾性分析。结果患儿发生抗生素相关性腹泻前使用1种抗生素占34.78%，使用2种抗生素占54.35%，使用3种抗生素占10.87%。使用抗生素时间﹤7 d者占26.09%，≥7 d者占73.91%。抗生素使用种类：头孢菌素类占63.04%，青霉素类占26.09%，大环内酯类占10.87%。46例AAD患儿35例治愈，占76.09%；好转10例，占21.74%；无效转院1例，占2.17%。结论抗生素相关性腹泻的发生与抗生素使用时间、患者年龄及肠道功能等因素有关，腹泻、呕吐及发热是其主要临床症状，应用微生态制剂加蒙脱石疗法治疗效果好。
目的：分析住院患兒抗生素相關性腹瀉（AAD）的臨床癥狀、輔助檢查及治療方法。方法對我院2010年6月-2012年6月收治的46例抗生素相關性腹瀉患兒的臨床資料進行迴顧性分析。結果患兒髮生抗生素相關性腹瀉前使用1種抗生素佔34.78%，使用2種抗生素佔54.35%，使用3種抗生素佔10.87%。使用抗生素時間﹤7 d者佔26.09%，≥7 d者佔73.91%。抗生素使用種類：頭孢菌素類佔63.04%，青黴素類佔26.09%，大環內酯類佔10.87%。46例AAD患兒35例治愈，佔76.09%；好轉10例，佔21.74%；無效轉院1例，佔2.17%。結論抗生素相關性腹瀉的髮生與抗生素使用時間、患者年齡及腸道功能等因素有關，腹瀉、嘔吐及髮熱是其主要臨床癥狀，應用微生態製劑加矇脫石療法治療效果好。
목적：분석주원환인항생소상관성복사（AAD）적림상증상、보조검사급치료방법。방법대아원2010년6월-2012년6월수치적46례항생소상관성복사환인적림상자료진행회고성분석。결과환인발생항생소상관성복사전사용1충항생소점34.78%，사용2충항생소점54.35%，사용3충항생소점10.87%。사용항생소시간﹤7 d자점26.09%，≥7 d자점73.91%。항생소사용충류：두포균소류점63.04%，청매소류점26.09%，대배내지류점10.87%。46례AAD환인35례치유，점76.09%；호전10례，점21.74%；무효전원1례，점2.17%。결론항생소상관성복사적발생여항생소사용시간、환자년령급장도공능등인소유관，복사、구토급발열시기주요림상증상，응용미생태제제가몽탈석요법치료효과호。
Objective To analyses our hospitalized children's clinical symptoms, antibiotic associated diarrhea Auxiliary examination and treatment. Methods our hospital from June 2010 to June 2012 were analyzed the clinical data of 46 cases of antibiotic associated diarrhea of children were retrospectively analyzed. Results Before the 46 cases of antibiotic-associated diarrhea in hospitalized children were using one kind of antibiotic use accounted 34.78%, the use of two kinds of antibiotics accounted for 54.35%, using three kinds of antibiotics accounted for 10.87%. Use of antibiotics accounted for less than 7 days was 26.09%, more than seven days by 73.91%. Types of antibiotics, cephalosporins accounted for 63.04%, accounting for 26.09%penicillins, macrolides accounted for 10.87%.46 cases of AAD in children except one case sicker transferred outside the hospital, 35 cases were cured, accounting for 76.09%, improved in 10 cases, accounting for 21.74%, ineffective transferred one case, accounting for 2.17 percent. Conclusion Antibiotic associated diarrhea associated with antibiotic use time, Patient related factors such as age and intestinal function, diarrhea, vomiting, and fever is the main clinical symptoms of antibiotic associated diarrhea in children ,Application of micro ecology and montmorillonite treatment effect is good.
