中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
14期
74-75
,共2页
紫癜%复发%慢性%过敏性%临床效果
紫癜%複髮%慢性%過敏性%臨床效果
자전%복발%만성%과민성%림상효과
Purpura%Recurrent%Chronic%Allergic%Clinical effect
目的：探讨和分析复发及慢性过敏性紫癜患儿的临床诊断和治疗情况。方法：随机选择复发及慢性过敏性紫癜患儿46例作为观察组，并选择同期一般过敏性紫癜患儿46例作为对照组。对照组采用常规治疗，观察组在对照组基础上给予孟鲁司特钠辅助治疗。比较分析两组患儿的临床诊断和治疗情况。结果：观察组中严重腹痛、肾炎以及持续性皮疹的例数明显多于对照组，两组比较差异均有统计学意义(P＜0.05)；但在关节肿痛和消化道出血方面差异没有统计学意义(P＞0.05)；观察组患儿的临床总有效率(97.83%)明显高于对照组患儿(78.26%)，两组比较差异有统计学意义(P＜0.05)。结论：复发及慢性过敏性紫癜患儿的明显症状主要为肾炎、腹痛和持续性皮疹，采用孟鲁司特钠进行辅助治，其临床效果良好，是一种安全、科学、理想的治疗方法。
目的：探討和分析複髮及慢性過敏性紫癜患兒的臨床診斷和治療情況。方法：隨機選擇複髮及慢性過敏性紫癜患兒46例作為觀察組，併選擇同期一般過敏性紫癜患兒46例作為對照組。對照組採用常規治療，觀察組在對照組基礎上給予孟魯司特鈉輔助治療。比較分析兩組患兒的臨床診斷和治療情況。結果：觀察組中嚴重腹痛、腎炎以及持續性皮疹的例數明顯多于對照組，兩組比較差異均有統計學意義(P＜0.05)；但在關節腫痛和消化道齣血方麵差異沒有統計學意義(P＞0.05)；觀察組患兒的臨床總有效率(97.83%)明顯高于對照組患兒(78.26%)，兩組比較差異有統計學意義(P＜0.05)。結論：複髮及慢性過敏性紫癜患兒的明顯癥狀主要為腎炎、腹痛和持續性皮疹，採用孟魯司特鈉進行輔助治，其臨床效果良好，是一種安全、科學、理想的治療方法。
목적：탐토화분석복발급만성과민성자전환인적림상진단화치료정황。방법：수궤선택복발급만성과민성자전환인46례작위관찰조，병선택동기일반과민성자전환인46례작위대조조。대조조채용상규치료，관찰조재대조조기출상급여맹로사특납보조치료。비교분석량조환인적림상진단화치료정황。결과：관찰조중엄중복통、신염이급지속성피진적례수명현다우대조조，량조비교차이균유통계학의의(P＜0.05)；단재관절종통화소화도출혈방면차이몰유통계학의의(P＞0.05)；관찰조환인적림상총유효솔(97.83%)명현고우대조조환인(78.26%)，량조비교차이유통계학의의(P＜0.05)。결론：복발급만성과민성자전환인적명현증상주요위신염、복통화지속성피진，채용맹로사특납진행보조치，기림상효과량호，시일충안전、과학、이상적치료방법。
Objective:To discuss and analyze the clinical diagnosis and treatment of recurrent and chronic allergic purpura. Methods:46 cases of children with recurrent and chronic allergic purpura were selected as the observation group,and 46 cases of children with general allergic purpura were selected as the control group.The control group were given conventional treatment, while the observation were given montelukast adjuvant treatment on the basis of control group.Compare and analyze the clinical diagnosis and treatment condition of children between the two groups.Results:The number of people of nephritis,severe abdominal pain,persistent rash of children in the observation group were significantly more than that of the control group,and comparison between groups was statistically significant(P<0.05).But there was no obvious difference in the aspect of joint pain and gastrointestinal bleeding(P>0.05).The clinical total effective rate of children in the observation group was statistically higher than that of the control group,and comparisons between groups was significantly different with statistical significance(P<0.05). Conclusion:The overt symptoms of children with recurrent and chronic allergic purpura were mostly nephritis,stomachache and persistent rash.The montelukast adjuvant treatment has a good clinical effect.It is a safe,scientific,ideal treatment method.
