小儿肺炎支原体肺炎临床诊断及治疗研究

Clinical Diagnosis and Treatment of Pediatric Mycoplasma Pneumoniae Pneumonia

目的研究和分析小儿肺炎支原体肺炎的临床诊断情况以及治疗方法和疗效情况。方法随机择取该院儿科自2012年12月—2014年12月期间收治的小儿肺炎支原体肺炎患儿104例,采用抽签法对他们进行组别划分,即:对照组52例,采用常规西医方法诊治;观察组52例,采用中西医结合方法诊治。并对两组患儿的临床治疗情况和疗效进行统计学对比和分析。结果临床对比统计显示,104例患儿的临床症状主要为发热、咳痰、咳嗽、喘憋等,临床检查主要表现为血沉增快、外周血白细胞升高或降低、心肌酶谱增高以及肺部云雾状阴影、肺门周围炎、支气管炎等。经过临床诊治,观察组患儿的治疗总有效率(98.08%)和不良反应率(0)均明显优于对照组患儿(86.54%,13.46%),两组对比结果差异有统计学意义(P<0.05)。结论小儿肺炎支原体肺炎的临床症状主要为发热、咳痰、咳嗽等,且临床检查结果均有明显特征。采用中医方法治疗后的疗效显著,症状改善好,不良反应少,因此,它是一种有效科学、理想安全的临床诊治方法。

Objective To study and analyze the clinical diagnosis, treatment and curative effect of pediatric mycoplasma pneumoniae pneumonia cases. Methods 104 children with infantile pneumonia mycoplasma pneumonia admitted in the Department of Paediatrics of our hospital during December 2012 and December 2014 were selected randomly and divided into control group and the observation group by drawing lots. 52 patients in the control group were treated with conventional western medicine, while the other 52 patients in the observation group were given integrated traditional chinese and western medicine. And the clinical treatment and curative effect of the patients in the two groups were statistically compared and analyzed. Results Clinical comparative statistics showed that the main clinical symptoms of all the 104 children were fever, expectoration, cough, asthma and so on. Increasing of erythrocyte sedimentation rate, increasing or decreasing of peripheral blood leukocytes, increasing of myocardial en-zyme, pulmonary cloudy shadows, inflammation around hilum of lung, bronchitis were found by clinical examination. After clinical diagnosis and treatment, total effective rate and adverse reaction rate of the patients in the observation group, were 98.08%, 0, su-perior to those in the control group, 86.54% and 13.46%, and there were statistically significant differences between the two groups（P〈0.05）. Conclusion The main clinical symptoms of the children with mycoplasma pneumoniae pneumonia who show obvious features by clinical examination were fever, expectoration, cough, etc. The effect of integrated traditional chinese and western medicine is significant, which can improve the clinical symptoms and is of less adverse reaction. Therefore it is an effective clinical diagnosis and treatment methods of high safety.