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小剂量甲泼尼龙辅助治疗节段性肺炎支原体肺炎的疗效探讨 被引量:2

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摘要 目的:评估小剂量甲泼尼龙佐治节段性肺炎支原体肺炎的疗效。方法选取2012年1至12月深圳市龙岗区妇幼保健院治疗的节段性肺炎支原体肺炎患儿40例作为对照组,另选取2013年1至12月在该院住院治疗的节段性肺炎支原体肺炎患儿40例作为治疗组,均给予常规治疗,治疗组在此基础上给予甲泼尼龙每次1 mg/kg静滴,2次/d,连用3~5 d。对比观察两组退热、咳嗽、肺部体征及胸片大片阴影消退时间、C反应蛋白(CRP)变化及住院时间。结果治疗组入院后发热持续时间、肺炎症状改善、住院时间均明显短于对照组,1周后肺部大片影吸收好转率明显高于对照组,差异有统计学意义(P〈0.05),且CRP水平随病情好转显著下降,差异有统计学意义(P〈0.05)。结论早期应用小剂量甲泼尼龙辅助治疗节段性支原体肺炎,可有效缓解临床症状,缩短发热和胸部大片影消退时间,减少住院天数,疗效确切。
出处 《中国临床实用医学》 2016年第2期75-77,共3页 China Clinical Practical Medicine
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