口服抗生素治疗儿童社区获得性非重症肺炎的临床疗效探析

Explore the Clinical Effects For the Children With Non-severe Community Acquired Pneumonia by Oral Antibiotic

目的探讨口服抗生素治疗儿童社区获得性非重症肺炎的临床疗效。方法按照抗生素给药途径不同将96例儿童社区获得性非重症肺炎患儿分为观察组50例和对照组46例,观察组患儿给予抗生素口服治疗,对照组患儿给予抗生素静脉注射治疗,比较两组治疗效果。结果观察组患儿家属认为静脉给药比口服用药见效快、效果好和认为儿童高热状态下首选给药方法为静脉给药所占的比例均低于对照组家属,差异有统计学意义(P<0.05);观察组患儿体温恢复、肺部口罗音消失、咳嗽消失时间均显著高于对照组,差异有统计学意义(P<0.05);两组患儿临床疗效、抗生素使用时间及用药后不良反应对比,差异无统计学意义(P>0.05)。结论部分家长对抗生素的使用存在误区,口服抗生素治疗儿童社区获得性非重症肺炎即可获得满意的临床效果和安全性,可作为优选给药方式。

Objective To explore the clinical effects for the children with non- severe community acquired pneumonia by oral antibiotic. Methods 96 cases of children with non - severe community acquired pneumonia were randomly divided into observation group（50 cases） and control group（46 cases）. The observation group were treated by oral antibiotics. The control group were treated by intravenous antibiotics. The clinical effects were observed. Results The rate of thinking that intravenous antibiotics could get quicker results and higher ef- fects than oral antibiotics, and the rate of thinking that the preferred method for the children with high fever was by intravenous for the relatives of observation group were lower than the relatives of control group （P 〈 0.05） ;The time of temperature recovering, lung sound disappeared and cough disappeared for observation group was higher than control group（P 〈 0.05） ; There were no significant differences on the rates of clinical effects, adverse reactions and therapeutic time of antibiotics for the two groups（P 〉 0.05）. Conclusion Some parents have misconceptions about antibiotics. Oral antibiotics treatment for the children with non - severe communityacquired pneumonia can obtain satisfactory clinical effects and securities. It can be used as a preferred drug - de- livery way.