CAJ | 학술논문

目的：探讨阿奇霉素联合孟鲁司特钠治疗小儿肺炎支原体肺炎的临床效果。方法将2012年3月~2014年3月汕头市澄海区人民医院儿科收治确诊的70例小儿肺炎支原体肺炎患儿随机分为治疗组和对照组，各35例，对照组采用阿奇霉素进行治疗，治疗组在对照组治疗的基础上加用孟鲁司特钠辅助治疗，比较两组的临床疗效。结果治疗组发热、咳嗽消失时间及住院时间均短于对照组，差异有统计学意义(P<0.05)。治疗组总有效率为97.71%，明显高于对照组的77.14%，差异有统计学意义(P<0.05)。结论阿奇霉素联合孟鲁司特钠治疗小儿肺炎支原体肺炎可缩短病程，效果显著，值得临床推广应用。
목적：탐토아기매소연합맹로사특납치료소인폐염지원체폐염적림상효과。방법장2012년3월~2014년3월산두시징해구인민의원인과수치학진적70례소인폐염지원체폐염환인수궤분위치료조화대조조，각35례，대조조채용아기매소진행치료，치료조재대조조치료적기출상가용맹로사특납보조치료，비교량조적림상료효。결과치료조발열、해수소실시간급주원시간균단우대조조，차이유통계학의의(P<0.05)。치료조총유효솔위97.71%，명현고우대조조적77.14%，차이유통계학의의(P<0.05)。결론아기매소연합맹로사특납치료소인폐염지원체폐염가축단병정，효과현저，치득림상추엄응용。
Objective To investigate the clinical effect of azithromycin combined with montelukast in the treatment of Mycoplasma pneumoniae pneumonia in children. Methods 70 cases of children with Mycoplasma pneumoniae pneumo-nia admitted to Pediatrics Department of Chenghai District People’s Hospital of Shantou City from March 2012 to March 2014 were selected,and were randomly divided into treatment group and control group,35 cases in each group, the control group were treated with azithromycin,the treatment group were treated with montelukast adjunctive therapy on the basis of control group,the clinical efficacy between the two groups was compared. Results The disappearance time of fever,cough and hospital stay of treatment group was shorter than that of control group,the difference was signifi-cant (P<0.05).The total effective rate of treatment group was 97.71%,higher than 77.14% of control group,the difference was significant (P<0.05). Conclusion Azithromycin combined with montelukast in treatment of Mycoplasma pneumoniae pneumonia in children can shorten the course,the effect is significant,is worthy of clinical application.