摘要
目的探究采用阿奇霉素和低剂量阿奇霉素联合针灸对小儿支原体肺炎症状、疗程等指标变化的影响.方法将2022年7月-2022年12月期间在上栗县妇幼保健院治疗的72例患儿采用随机数字表法进行分组,分为研究组(36例)和对照组(36例).采用阿奇霉素是对照组的治疗方式,低剂量阿奇霉素联合针灸是研究组的治疗方式,保持两组一致的治疗周期(6d).将研究组和对照组治疗前后的症状改善情况、生活质量、炎性因子水平、治疗期间不良反应和治疗后的疗效、疗程进行对比分析.结果治疗后,研究组临床总有效率(94.44%)较对照组(77.78%)更高;研究组热退、住院、喘息消失、止咳、肺部啰音消失、痰壅消失的时间均短于对照组;与对照组比较,研究组治疗后咳嗽无力、气短多汗、面色淡白、神疲乏力、四肢欠温评分、血清CRP、外周血ESR、WBC水平均更低,且两组治疗后水平低于治疗前;研究组一般健康状况、生理职能、心理健康和躯体功能方面的评分均高于对照组,且两组均高于治疗前;在治疗过程中,研究组不良反应发生率(5.56%)较对照组(25.00%)更低(P<0.05).结论低剂量阿奇霉素联合针灸治疗能改善小儿支原体肺炎症状,缩短疗程,并提高患儿的生活质量,减少不良反应,同时减轻炎症反应,疗效显著.
Objective This study compared the two groups of methods,in order to explore the changes of symptoms,course of treatment and other indicators of mycoplasma pneumonia in children with azithromycin and low-dose azithromycin combined with acupuncture and moxibustion.Methods From July 2022 to December 2022,a total of 72 children admitted to Shangli County Maternal and Child Health Hospital were randomly divided into two groups:the study group(36 cases)and the control group(36 cases).Azithromycin was used as the treatment mode in the control group,and low-dose azithromycin combined with acupuncture and moxibustion was used as the treatment mode in the study group,maintaining the same treatment cycle(6 days)between the two groups.Comparative analysis was conducted between the study group and the control group before and after treatment:symptom improvement,quality of life,levels of inflammatory factors,adverse reactions during treatment,and efficacy and course of treatment after treatment.Results After treatment,the total clinical effective rate in the study group(94.44%)was higher than that in the control group(77.78%);the following six periods of time in the study group(fever subsided,hospitalization,wheezing disappeared,cough relief,lung rales disappeared,and phlegm retention disappeared)were shorter than those in the control group;after treatment,compared with the control group,the study group had lower levels of cough weakness,shortness of breath,hyperhidrosis,pale complexion,fatigue and fatigue,limb hypothermia scores,serum CRP,peripheral blood ESR,and WBC,and both groups were lower than before treatment;the scores of general health status,physiological function,mental health,and physical function in the study group were higher than those in the control group,and both groups were higher than before treatment;during the treatment process,the incidence of adverse reactions in the study group(5.56%)was lower than that in the control group(25.00%)(P<0.05).Conclusion Low dose azithromycin combined with acupuncture and m
作者
邹玉玲
柳堂忠
吴美玲
吴高根
Zou Yuling;Liu Tangzhong;Wu Meiling;Wu Gaogen(Shangli County Maternal and Child Health Hospital,Pingxiang,Jiangxi 337009,China;Shangli County People's Hospital,Pingxiang,Jiangxi 337009,China)
出处
《首都食品与医药》
2023年第17期58-61,共4页
Capital Food Medicine
关键词
小儿支原体肺炎
低剂量
阿奇霉素
针灸
疗程
症状改善
Mycoplasma pneumonia in children
Low dose
Azithromycin
Acupuncture and moxibustion
course of treatment
Symptom improvement
