ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2017, Vol. 9 ›› Issue (6): 475-477.doi: 10.3969/j.issn.1674-3865.2017.06.004

• 临床研究 • 上一篇    下一篇

喜炎平注射液佐治儿童肺炎支原体肺炎疗效观察

国琴,徐浩,张冬姣   

  1. 110024 沈阳,沈阳医学院附属中心医院儿科
  • 出版日期:2017-12-25 发布日期:2018-11-19
  • 通讯作者: 徐浩,E-mail:253920191@qq.com
  • 作者简介:国琴(1985-),女,医学硕士,主治医师。研究方向:小儿呼吸系统疾病的诊治

Observation on the curative effect of Xiyanping injection in the treatment of Mycoplasma pneumoniae pneumonia in children

GUO Qin,XU Hao,ZHANG Dongjiao   

  1. Department of Pediatric,Central Hospital Affiliated to Shenyang Medical College, Shenyang 110024,China
  • Online:2017-12-25 Published:2018-11-19

摘要:
目的
观察喜炎平注射剂佐治儿童肺炎支原体肺炎的疗效。
方法
选择2012年1月1日至2016年12月31日沈阳医学院附属中心医院儿科收治住院的肺炎支原体肺炎患儿571例,随机分为观察组278例和对照组293例。两组均可联合止咳、祛痰、平喘、补液、吸氧等常规治疗。对照组给予红霉素注射液静脉滴注,每日2次。观察组在对照组治疗基础上联合喜炎平注射液静脉滴注,每日1次。两组均7 d为1个疗程。观察两组临床疗效及症状体征改善时间。
结果
观察组疗效优于对照组,差异有统计学意义(Z=-3.94,P<0.05)。观察组痊愈率为70.86%(197/278),显著高于对照组54.94%(161/293),差异有统计学意义(P<0.05)。观察组患儿退热时间、咳嗽减轻时间、肺部啰音消失时间均较对照组缩短,差异有统计学意义(P<0.01)。
结论
喜炎平注射液辅助治疗儿童肺炎支原体肺炎疗效确切,与抗生素联合使用,能够协助缓解临床症状与体征,值得临床推广应用。

关键词: 肺炎, 支原体, 红霉素, 喜炎平, 儿童

Abstract:
Objective
To observe the curative effect of Xiyanping injection in the treatment of Mycoplasma pneumoniae pneumonia in children.
Methods
The data of 571 cases of children with Mycoplasma pneumoniae pneumonia were reviewed, who were treated from Jan. 1,2012 to Dec. 31,2016 in Department of Pediatrics, Central Hospital Affiliated to Shenyang Medical College. The 571 cases of children with Mycoplasma pneumoniae pneumonia were divided into treatment group(n=278) and control group(n=293). Both groups were given conventional treatment of relieving cough, removing sputum, relieving asthma, supplementing liquid and inhaling oxygen. The control group was treated with erythromycin injection by intravenous dripping, twice a day. The observation group received intravenous dripping of Xiyanping injection in addition to the erythromycin, once a day. Both groups were treated for 7 days as a course. Observe the clinical effect and the time for symptoms and signs to improve in the two groups.
Results
The effect of the observation group was better than that of the control group, the difference being statistical(Z=-3.94,P<0.05). The cure rate of observation group was 70.86% (197/278), significantly higher than that of control group(54.94%, 161/293),and there was statistical difference(P<0.05). The time of fever disappearance, cough relief and the disappearance of lung rales was shorter in observation group than that in control group, and the difference was statistically significant(P<0.01).
Conclusion
Xiyanping injection has good effect in the treatment of children with Mycoplasma pneumoniae pneumonia, which combined with antibiotic, can help to relieve the clinical symptoms and signs, deserving clinical application.

Key words: Pneumonia, Mycoplasma pneumoniae, Erythromycin, Xiyanping, Children