两种方法治疗小儿支气管肺炎临床观察.doc

两种方法治疗小儿支气管肺炎临床观察[摘要] 目的：比较序贯疗法和常规静脉滴注法治疗支气管肺炎的临床疗效。方法：将70例小儿支气管肺炎随机分为序贯疗法组36例和静脉滴注法组34例，观察两组疗效。结果：序贯疗法组痊愈69.4%(25/36)，显效19.4%(7/36)，进步11.1%(4/36)，无效0例，总有效率88.9%(32/36)。静脉滴注组：痊愈73.5%(25/34)，显效17.6%(6/34)，进步8.8%(3/34)，无效0例，总有效率91.6%。两组在治疗效果、总有效率上无显著性差异(t=2.94，P0.05)；序贯疗法组住院时间(6.0±0.9) d与静脉滴注组(8.0±1.5) d比较有显著性差异(t=7.92，P0.05)。结论：序贯治疗能节省治疗费用、降低院内交叉感染、减轻患儿痛苦。 [关键词] 序贯治疗；支气管肺炎；小儿 [中图分类号] R563.1+2 [文献标识码]A [文章编号]1673-7210（2008）07（c）-047-02 Clinical observation in Children with bronchopneumonia by two methods DENG Jin-xing (Department of Pediatrics Lianping People’s Hospital，Lianping 517100，China) [Abstract] Objective:To compare sequential therapy and conventional intravenous infusion treatment of the clinical effect of bronchopneumonia. Methods:70 cases of bronchopneumonia in children were randomly divided into sequential therapy group(n=36)and intravenous infusion group(n=34)，the effects were observed. Results: The sequential therapy group recovery 69.4%(25/36)，effective 19.4%(7/36)，improvement 11.1%(4/36)，invalid 0，and the total efficiency rate is 88.9% (32/36). Intravenous infusion group:73.5% recovery(25/34)，effective 17.6% (6/34)，improvement 8.8%(3/34)，invalid 0，and the total efficiency rate is 91.6%.and there is no significant difference (t=2.94，P0.05) in the total efficiency and overall treatment time between the two group，there is significant difference in the duration of hospitalization between the two group. Conclusion:The sequential therapy treatment can save costs，reduce hospital cross-infection and reduce pain in children with bronchopneumonia. [Key words] Sequential therapy; Bronchopneumonia; Children 支气管肺炎是小儿时期常见的感染性疾病，在我国，肺炎患儿占住院儿童的24.5%～56.2% [1]，发生率居高不下，临床上常规治疗方法是静脉使用抗生素，直至治愈。总疗程7～10 d，由于耐药菌株的增多和抗生素价格的增高，医疗费用逐年增高。有研究[2]提出了抗微生物药物序贯疗法的概念，其要点是住院患者经短期静脉用药病情稳定后，将静脉注射改为口服药物治疗。我们采用了抗生素序贯疗法治疗支气管肺炎，效果良好，现报道如下： 1资料与方法 1.1临床资料 收集2002年8月～2005年8月我院儿科收治的支气管肺炎70例，男36例，女34例，年龄12个月～8岁(平均4.2岁)。所有患儿都有不同程度的咳嗽，多为咳嗽有痰，有气促者62例(88.6%)，发热61例(87.1