Objective:To compare the therapeutic efficacy of alternate use of azithromycin and acetylspiramycin with sequential therapy and azithromycin alone in the treatment of mycoplasma pneumonia in children. Methods:In the outpatient department, 84 ca-ses of mycoplasma pneumonia children were randomly divided into group A (43 cases) and group B (41 cases). The group A was giv-en azithromycin (10mg·kg-1 ·d-1 ,ivd,qd) with intravenous infusion for 7 days, and then after 4-day withdrawal, orally given az-ithromycin 10 mg·kg-1 ·d-1 qd for 3 days followed by 4-day withdrawal,and till 3 weeks ( sequential therapy) . The group B was giv-en azithromycin (10mg·kg-1 ·d-1 ,ivd,qd) with intravenous infusion for 7 days followed by oral administration with acetylspiramycin 25-30 mg·kg-1 ·d-1 tid for 2 weeks. Results:The clinical efficacy and adverse reactions of the two groups were compared. The total effective rate of group A and group B was 86. 0% and 100%, respectively, and the effective rate of group B was obviously higher than that of group A (P<0.05). There was no significant difference in the incidence of adverse reactions between the two groups(P>0. 05). Conclusion:The alternate use of azithromycin and acetylspiramycin in the treatment of mycoplasma pneumonia in children is better than the sequential therapy of azithromycin alone.

Objective:Taking Chongyang county of Hubei Province as an example, the paper describes the in-tegration of the maternal and child health ( MCH) and family planning ( FP) service system and analyses the key ele-ments to provide reference for promoting integration. Methods: qualitative interviews and quantitative questionnaire were used to collect data. The software QSR Nvivo 8. 0 and SPSS 17. 0 were used for qualitative and quantitative data analysis. Results:Based on the correct understanding of integration, Chongyang implements the supporting policies actively, maintains the original compensation mode unchanged, follows the principle of“no reducing headcounts and no downsizing” strictly, promotes the merger of institutions rapidly, adjusts the service contents and methods reasona-bly, and integrates the maternal and child and family planning information platform. Conclusion:The correct concept of integration, appropriate staffing, and stable funding in Chongyang provide rich experiences for future research. However, there is room for improvement in staffing, incentive mechanisms, service content, and forms.