肺炎支原体感染致儿童慢性咳嗽的临床探析
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摘要
目的:探讨儿童慢性咳嗽疾病和肺炎支原体感染的关系,并探索治疗的方法。方法:选取2015年1月至2016年1月我院收治的61例慢性咳嗽患儿为研究对象,定为观察组,并选择同期61例急性上呼吸道患儿作为对照组,对所有患儿都采用被动凝集法(MP-Ig M)对血清肺炎支原体抗体进行测定,同时对于观察组由肺炎支原体感染导致该的33例患者实施大环内聚类抗生素序贯治疗,观察治疗的效果。结果:观察组当中,由肺炎支原体感染的患儿有33例,占54.10%,对照组占13.11%,两组对比具有明显的差异P<0.05,有统计学意义。对观察组33例肺炎支原体感染的慢性咳嗽患儿治疗后,有效率达到了93.94%。结论:肺炎支原体感染是造成儿童慢性咳嗽的主要原因之一,而治疗时可以选择大环内聚类抗生素。
objective: to study the disease of chronic cough in children with mycoplasma pneumoniae infection, and explore the approach of treatment. Methods: between January 2015 andJanuary 2015 of our hospital 61 cases of children with chronic cough as the research object, as the observation group, 61 cases of children with acute upper respiratory tract and select the same periodas the control group, for all children with passive agglutination approach(MP Ig M) to determination of serum antibody of mycoplasma pneumoniae, at the same time for the observation group causedby mycoplasma pneumoniae infection of the 33 cases with large ring clustering antibiotic sequential therapy, observe the effect of the treatment. Results: the observation group, by the children withmycoplasma pneumoniae infection in 33 cases, accounted for 54.10%, the control group(13.11%), compared the two groups have obvious difference(P < 0.05, with statistical significance. Observationgroup of 33 cases of mycoplasma pneumoniae infection of chronic cough in children with treatment, efficient reached 93.94%. Conclusion: mycoplasma pneumoniae infection is one of the leading causesof chronic cough in children, and at the time of treatment can choose big ring clustering of antibiotics.
引文
[1]郭晓军,林立,卢敏君等.肺炎支原体感染与儿童慢性咳嗽关系的临床研究[J].中外医疗,2013,32(24):29-30.
    [2]赵忠宁.孟鲁司特治疗肺炎支原体感染致慢性咳嗽[J].临床医学,2012,32(3):108.
    [3]于利,罗函渝,张伟忠等.130例肺炎支原体感染所致儿童慢性咳嗽的治疗研究[J].国际医药卫生导报,2013,19(10):1436-1439.
    [4]袁慧强,张卫星,邢风举等.化痰止咳合剂治疗小儿肺炎支原体所致慢性咳嗽41例[J].浙江中医杂志,2012,47(10):735.
    [5]王静,丁周志,罗厚江等.肺炎支原体感染致儿童慢性咳嗽临床分析[J].中华全科医学,2015,13(8):1296-1297,1327.

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