阿奇霉素序贯治疗儿童肺炎支原体感染100例分析

Analysis of Azithromycin sequential therapy for 100 children with mycoplasma pneumoniae infection

目的探讨阿奇霉素序贯疗法对儿童肺炎支原体感染的临床治疗效果。方法对我院2012年9月—2013年9月期间收治的100例感染肺炎支原体患儿入院时采用对症治疗和支持治疗,确诊为支原体肺炎后采用静脉注射阿奇霉素治疗,症状有效控制后即用阿奇霉素口服的序贯疗法。结果 100例患儿均在20 d后进行疗效评价,胸部X线显示肺部阴影明显吸收,发热、咳嗽及肺部啰音等症状、体征消失者80例;症状、体征好转但非显效者20例。100例患儿均治愈出院。结论阿奇霉素序贯治疗小儿肺炎支原体感染疗程短,疗效好,胃肠道反应少,值得应用和推广。

Objective To investigate the clinical efficacy of azithromycin analyze sequential treatment of mycoplasma pneumonia in children infected. Methods Selected 100 children infected with Mycoplasma pneumonia from September 2012 to September 2013 in our hospital.100 cases were carried out symptomatic and supportive treatment, used azithromycin intravenously after diagnosis of mycoplasma pneumonia, used oral sequential therapy with azithromycin after effective control of symptoms. Results Evaluation 20 days after treatment：fever, cough and other symptoms and signs of pulmonary rales disappeared, chest X-ray showed lesions absorb significantly or completely absorbed in 80 cases; signs and symptoms improved in 20 cases. 100 cases of patients were cured. Conclusion Azithromycin sequential therapy shorten the course, reduced gastrointestinal reactions, worthy application and promotion in mycoplasma pneumoniae infection of children.