小儿支原体感染的临床表现与治疗方式探析

Clinical Manifestations and Treatment of Mycoplasma Infection in Children

目的研究小儿支原体感染的临床表现与治疗方式。方法选取我院2015年1月—2016年8月小儿支原体感染患儿160例作为研究对象,将其随机分为两组,非雾化组单纯用阿奇霉素治疗,雾化组在阿奇霉素治疗基础上用复方异丙托溴氨和布地奈德混悬液雾化吸入治疗。总结患儿临床表现,两组患儿后期咳嗽持续时间、高体温恢复正常时间、肺部感染消失时间、肺部啰音消失时间和治疗效果进行比较。结果雾化组治疗效果优于非雾化组,差异具有统计学意义(P<0.05)。其中,非雾化组中,显效27例,有效41例,无效12例,总有效率为85.00%;雾化组中,显效44例,有效32例,无效4例,总有效率为95.00%。雾化组患儿后期咳嗽持续时间、高体温恢复正常时间、肺部感染消失时间、肺部啰音消失时间均优于非雾化组,差异具有统计学意义(P<0.05)。结论小儿支原体感染的临床表现复杂,阿奇霉素治疗基础上用复方异丙托溴氨和布地奈德混悬液雾化吸入治疗效果优于单纯阿奇霉素治疗,可更好促进临床症状的消退,改善患儿预后。

Objective To study the clinical manifestation and treatment of mycoplasma infection in children. Methods 160 cases of children with mycoplasma infection were divided into two groups from January 2015 to August 2016. The non-aerosol group was treated with azithromycin alone. The fractions were treated with azithromycin and dexamethasone De suspension inhalation therapy. To summarize the clinical manifestations of children, two groups of children late cough duration, high body temperature returned to normal time, the disappearance of lung infection time, lung rales disappear time and treatment effects were compared. Results The effect of the treatment group was significantly higher than that of the non-atomized group （P 〈 0.05）. Among them, 27 cases were markedly effective in the non- atomized group, 41 cases were ineffective and 12 cases were ineffective. The total effective rate was 85.00%. There were 44 cases in the aerosol group, 32 cases were effective and 4 cases were ineffective. The total effective rate was 95.00%. The duration ＆coughing, high body temperature returned to normal time, the time of disappearance of lung infection and the disappearance of lung rales were significantly better than those of nonatomized group （P 〈0.05）. Conclusion The clinical manifestation of mycoplasma infection in children is complicated. The effect of azithromycin treatment on the basis of azithromycin and budesonide suspension is better than that of azithromycin alone, which can promote the regression of clinical symptoms and improve the symptoms child prognosis.