Glucocorticoid treatment of children with mycoplasma pneumonia
- VernacularTitle:糖皮质激素佐治小儿肺炎支原体肺炎
- Author:
Xiaodong CHEN
1
;
Juying ZHENG
;
Wei LI
Author Information
1. 广州医科大学附属第四医院儿科
- Keywords:
Pneumonia;
Mycoplasma pneumoniae;
Glucocorticoid
- From:
China Modern Doctor
2014;(30):158-160
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical effect of glucocorticoid treatment in children with Mycoplasma pneumo-nia. Methods A total of 45 cases of children with mycoplasma pneumonia were randomly divided into two groups, 25 cases in the control group were given azithromycin injection continuous intravenous infusion of 5D. And then changed to Azithromycin for Suspension oral(3D stop 4D), 2-3 courses. The observation group of 20 cases based on the control group were treated with injection of methylprednisolone 1-2 mg/(kg od), intravenous infusion of 3 d, in the two 7 d af-ter treatment groups, the fever, cough relief time time, the improvement of chest X-ray film and duration of hospitaliza-tion were compared. Results Hormone treatment group 13 cases were cured, 6 cases effective, 1 cases ineffective, the total effective rate was 95.0%. Non hormone treatment group 7 cases were cured, 11 cases effective, 7 cases ineffective, the total efficiency of 72.0%. Cure rate of hormone treatment group was significantly higher than that of non steroid group, there was statistically significant differenc(P<0.05). Conclusion Early application of low-dose, short term glucocor-ticoid treatment in children with Mycoplasma pneumoniae pneumonia,it can effectively improve the clinical symptoms, reduce or avoidthe occurrence of lung, pulmonary complications, improve the cure rate, to avoid the occurrence of seri-ous complications.
