肺炎支原体肺炎的临床诊治

Clinical Diagnosis and Treatment of Mycoplasmal Pneumonia

目的分析及探讨肺炎支原体肺炎的临床诊断及治疗方式,为临床诊断及治疗提供操控。方法便利选择该院2016年2月—2017年1月期间收治的小儿肺炎支原体肺炎患儿69例的临床资料进行回顾性分析,对所有患儿采用X线胸片检查及实验室检查,将肺炎支原体肺炎患儿分成两组使用红霉素联合阿奇霉素治疗及单纯使用阿奇霉素进行治疗,观察诊断方式的诊断价值,分析两种治疗方式的效果,比较两组患儿在治疗后的肺部啰音消失时间、止咳时间及不良反应发生率。结果采用X线胸片检查能有效对肺炎支原体肺炎进行诊断(敏感度为94.20%,漏诊率为5.79%,阳性预测值为94.20%),采用阿奇霉素联合红霉素进行使用能有效缓解患儿的临床症状,促进患儿预后,两组小儿肺炎支原体肺炎患儿之间对比的肺部啰音消失时间[(8.15±2.03)d vs 6.27±1.52)d]、止咳时间[(7.89±1.32)d vs(5.26±1.07)d]差异有统计学意义(P<0.05)。结论小儿肺炎支原体肺炎采用X线胸片检查的诊断效果显著,值得临床推广。

Objective To analyze the clinical diagnosis and treatment method of mycoplasmal pneumonia and provide reference for the clinical diagnosis and treatment. Methods 69 cases of children with mycoplasmal pneumonia admitted and treated in our hospital from February 2016 to January 2017 were convenient selected and all children adopted the X ray chest examination and laboratory examination, and the patients were divided into two groups, respectively treated with erythromycin combined azithromycin and single azithromycin, and the diagnosis value was observed and the treatment effect was analyzed and the lung rale disappearance time, cough relief time and incidence rate of adverse reactions were compared between the two groups after treatment. Results The sensitivity, misdiagnosis rate and positive predictive value of X ray chest examination in diagnosis of the mycoplasmal pneumonia was respectively 94.20%, 5.79% and 94.20%, and the erythromycin combined azithromycin can effectively relieve the clinical symptoms of children and promote the prognosis and the differences in the lung rale disappearance time and cough relief time between the two groups were statistically significant[（8.15±2.03）d vs（6.27±1.52）d],（7.89±1.32）d vs（5.26±1.07）d]（P〈0.05）. Conclusion The effect of X ray chest examination in diagnosis of children with mycoplasmal pneumonia is obvious, which is worth clinical promotion.