小儿肺炎支原体肺炎的临床诊治分析

目的观察探讨小儿肺炎支原体肺炎的临床诊治方法。方法将2009年6月～2011年6月收治的400例肺炎支原体肺炎患儿随机分为观察组(阿奇霉素)和对照组(红霉素),每组各200例,观察比较两组治疗效果。结果观察组总有效率94.0%(188/200),不良反应3例;对照组总有效率82.0%(164/200),不良反应25例,两组疗效及不良反应发生率比较存在一定差异(P<0.05),具有统计学意义。结论对小儿肺炎支原体肺炎应结合患儿的临床表现、病史、各种辅助检查进行诊断,一旦确诊,应及早采取对症治疗,早期应用阿奇霉素治疗,能有效改善预后,减少后遗症。

Objective To observe and discuss the clinical diagnosis and treatment of Mycoplasma pneumonia in children methods.Methods In our hospital from 2009 June to 2011 June,400 cases of Mycoplasma pneumoniae pneumonia in children with the diagnosis,were randomly divided into the observation group（azithromycin） and control group（DNR）,all 200 cases were compared between the two groups,treatment effect.Results The observation group total effective rate was 94%（188/200）,3 cases of adverse drug reactions;the control group total effective rate was 82%（164/200）,25 cases of adverse drug reactions,two groups of curative effect and adverse reaction incidence rate differences（P0.05）,with statistical significance.Conclusion The young child pneumonia mycoplasma pneumonia should be combined with clinical manifestations in children,medical history,a variety of auxiliary examination for diagnosis,once diagnosed,should be taken early symptomatic treatment,early use of azithromycin treatment,can effectively improve the prognosis,reduce the sequelae.