小儿支原体肺炎的临床治疗分析及临床体会

目的探讨小儿支原体肺炎的临床发病特点及治疗措施。方法选取商丘市第一人民医院2012年10月至2013年5月收治的164例小儿支原体肺炎患儿，根据用药的不同分为观察组（86例）和对照组（78例）。观察组应用阿奇霉素治疗，对照组应用红霉素治疗，观察两组的疗效及症状、体征改善情况。结果观察组患儿总有效率为96．51％，明显高于对照组的83．33％，两组比较差异有统计学意义（P〈0．05）；观察组患儿症状、体征改善时间，肺部哕音消失时间及平均治疗时间较对照组明显缩短，差异有统计学意义（P〈0．05）。结论小儿支原体肺炎肺外表现多样，阿奇霉素序贯疗法是安全且有效的，能较好地改善病情，提高治愈率。

Children mycoplasma pneumonia clinical analysis and clinical experience

Objective To investigate the incidence of Mycoplasma Pneumonia characteristics and treatment measures. Methods First People Hospital of Shangqiu City, from October 2012 to May 2013 were treated 164 cases of mycoplas ma pneumonia in children, according to the drug were divided into observation group （86 cases） and control group （78 cases）. Observation group applications azithromycin, erythromycin treatment control group were observed efficacy and symptoms and signs. Results The total effective rate was 96. 51% in children, significantly higher than 83. 33%, the difference was statistically significant（ P 〈 0. 05 ） ; Observe the group of children with symptoms and signs of improve ment in time, pulmonary rales disappearance time and average duration of treatment was significantly shorter than the control group, the difference was statistically significant （P 〈 0. 05 ）. Conclusion Mycoplasma pneumonia extrapulmo nary manifestations, azithromycin sequential therapy is safe and effective, can better improe the condition and improve the cure rate.