摘要
目的:探讨肺炎支原体感染诱发儿童哮喘的临床特点及治疗。方法:收治肺炎支原体感染诱发哮喘发作患儿40例为试验组,收治非肺炎支原体感染诱发哮喘患儿30例为对照组,比较两组临床资料。结果:试验组喘息反复史、发热、热程、对支气管扩张剂的反应、咳喘持续时间、住院时间、C反应蛋白(CRP)、嗜酸细胞计数、心肌受累的发生率与对照组比较,差异有统计学意义(P<0.05);在呼吸系统受累方面,试验组以肺炎为主,对照组以上呼吸道感染多见(P<0.05);试验组应用平喘药联合大环内酯类抗生素治疗和布地奈徳博利康尼雾化吸入结合超声导入治疗收到良好的疗效。结论:肺炎支原体感染诱发儿童哮喘具有独特的临床特征,采用平喘药与大环内酯类抗生素对患儿进行治疗能取得较好的效果。
Objective:To explore the clinical features and treatment of children with asthma induced by mycoplasma pneumoniae infection.Methods:40 cases of children with asthma induced by mycoplasma pneumoniae infection were selected as the experimental group.40 cases of children with asthma induced by non mycoplasma pneumoniae infection were selected as the control group.We compared the clinical data of two groups.Results:There were significant differences in the history of recurrent wheezing,fever,fever process,response to bronchodilator,duration of cough and dyspnea,hospitalization time,and C reactive protein(CRP),eosinophil count,the incidence of myocardial involvement between the experimental group and the control group(P<0.05).In the respiratory system involvement,the experimental group was mainly pneumonia,and the control group was mainly respiratory tract infection(P<0.05).The experimental group had good curative effect by the application of antiasthmatic drugs combined with macrolide antibiotics and budesonide terbutaline nebulization inhalation combined with ultrasonic introduction therapy.Conclusion:The children with asthma induced by mycoplasma pneumoniae infection had unique clinical features.The curative effect of antiasthmatic and macrolide antibiotics was better.
出处
《中国社区医师》
2017年第31期43-45,共3页
Chinese Community Doctors
关键词
肺炎支原体感染
儿童哮喘
临床特征
Mycoplasma pneumoniae infection
Children with asthma
Clinical features
