CAJ | 학술논문

目的：结合临床接诊经验，分析小儿肺炎支原体肺外感染特点，总结支原体肺炎的中医药治疗体会。方法将我院2013年6月～2014年6月收纳的56例肺炎支原体肺炎患儿作为研究对象。随机将患儿均分为对照组与观察组，对照组患儿住院期间接受常规治疗；观察组患儿住院期间在对照组治疗的基础上，另使用中药辅助治疗。结果小儿肺炎支原体肺外感染患儿临床多伴有发热、剧烈咳嗽等症状，X线表现单侧病变，且下肺发生病变的几率比上肺更高。对照组与观察组治疗总有效率分别为：71.4%和92.9%，两组对比差异显著（P＜0.05），具有统计学意义。结论肺炎支原体肺炎临床症状尤为明显，体征较为轻微，经X线胸片检查，可发现明显阴影。中医药治疗小儿肺炎支原体肺外感染疗效显著，适合于临床推广应用。
목적：결합림상접진경험，분석소인폐염지원체폐외감염특점，총결지원체폐염적중의약치료체회。방법장아원2013년6월～2014년6월수납적56례폐염지원체폐염환인작위연구대상。수궤장환인균분위대조조여관찰조，대조조환인주원기간접수상규치료；관찰조환인주원기간재대조조치료적기출상，령사용중약보조치료。결과소인폐염지원체폐외감염환인림상다반유발열、극렬해수등증상，X선표현단측병변，차하폐발생병변적궤솔비상폐경고。대조조여관찰조치료총유효솔분별위：71.4%화92.9%，량조대비차이현저（P＜0.05），구유통계학의의。결론폐염지원체폐염림상증상우위명현，체정교위경미，경X선흉편검사，가발현명현음영。중의약치료소인폐염지원체폐외감염료효현저，괄합우림상추엄응용。
Objective To analysis the characteristics of Mycoplasma pneumoniae infection in children with pulmonary and to summarize the experience of Chinese medicine treatment of mycoplasma pneumonia combined with clinical experience in admissions.Methods 56 cases of Mycoplasma pneumoniae pneumonia in our hospital from June 2013 to June 2014 were studied as the research object.Children were randomly divided into control group and observation group.Control group was given conventional treatment during hospitalization.On the basis of the control group,the observation group was treated with Chinese herbal medicine. Results Mycoplasma pneumoniae clinical pulmonary infection in children was usually accompanied by fever,coughing and other symptoms,X-ray findings of unilateral lesions,and the lower the probability of the occurrence of lung disease than lung higher.The total effective of control group and observation group were as follows:71.4% and 92.9%. Two groups were significantly different (P<0.05),with statistical significance. Conclusion The symptom of Mycoplasma pneumoniae pneumonia is especially obvious.Significant shadow can be found in by X-ray examination.Traditional Chinese medicine in the treatment of children with Mycoplasma pneumoniae infection is significant,and is suitable for clinical application.