[1]林嵩岚.头孢他啶联合布地奈德治疗肺炎患儿的效果及对血清指标变化的影响[J].医学信息,2022,35(22):127-129.[doi:10.3969/j.issn.1006-1959.2022.22.029]
 LIN Song-lan.Effect of Ceftazidime Combined with Budesonide in Treatment of Children with Pneumonia and its Influence on Changes of Serum Indexes[J].Journal of Medical Information,2022,35(22):127-129.[doi:10.3969/j.issn.1006-1959.2022.22.029]
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头孢他啶联合布地奈德治疗肺炎患儿的效果及对血清指标变化的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年22期
页码:
127-129
栏目:
药物与临床
出版日期:
2022-11-15

文章信息/Info

Title:
Effect of Ceftazidime Combined with Budesonide in Treatment of Children with Pneumonia and its Influence on Changes of Serum Indexes
文章编号:
1006-1959(2022)22-0127-03
作者:
林嵩岚
(信丰县妇幼保健院儿科,江西 信丰 341600)
Author(s):
LIN Song-lan
(Department of Pediatrics Xinfeng County Maternal and Child Health Hospital,Xinfeng 341600,Jiangxi,China)
关键词:
头孢他啶布地奈德小儿肺炎
Keywords:
CeftazidimeBudesonideInfantile pneumonia
分类号:
R725.6
DOI:
10.3969/j.issn.1006-1959.2022.22.029
文献标志码:
A
摘要:
目的 探究头孢他啶联合布地奈德治疗肺炎患儿的效果及对实验室指标、血清指标的影响。方法 选取2019年6月-2021年6月我院诊治76例肺炎患儿为研究对象,采用随机数字表法分为对照组和试验组,每组38例。对照组采用布地奈德治疗,试验组采用头孢他啶联合布地奈德治疗,比较两组临床疗效、不良反应、实验室指标[C反应蛋白(CRP)、白细胞计数(WBC)]、血清指标[肿瘤坏死因子(TNF-α)、白介素-8(IL-8)、白介素-6(IL-6)、可溶性细胞间黏附分子-1(sICAM-1)]。结果 试验组治疗总有效率高于对照组(P<0.05);两组治疗后CRP、WBC水平低于治疗前,且试验组低于对照组(P<0.05);两组治疗后TNF-α、IL-8、IL-6、sICAM-1水平均低于治疗前,且试验组低于对照组(P<0.05);试验组不良反应发生率略低于对照组,但差异无统计学意义(P>0.05)。结论 头孢他啶联合布地奈德对肺炎患儿的治疗效果良好,能够有效缓解肺炎患儿的临床症状,改善血清学指标和实验室指标,具有较好的安全性。
Abstract:
Objective To explore the effect of ceftazidime combined with budesonide in the treatment of children with pneumonia and its influence on laboratory indexes and serum indexes.Methods A total of 76 children with pneumonia diagnosed and treated in our hospital from June 2019 to June 2021 were selected as the research objects. They were divided into control group and experimental group by random number table method, with 38 cases in each group. The control group was treated with budesonide, and the experimental group was treated with ceftazidime combined with budesonide. The clinical efficacy, adverse reactions, laboratory indicators [C-reactive protein (CRP), white blood cell count (WBC)], serum indicators [tumor necrosis factor (TNF-α), interleukin-8 (IL-8), interleukin-6 (IL-6), soluble intercellular adhesion molecule-1 (sICAM-1)] were compared between the two groups.Results The total effective rate of treatment in the experimental group was higher than that in the control group (P<0.05). After treatment, the levels of CRP and WBC in the two groups were lower than those before treatment, and those in the experimental group were lower than the control group (P<0.05). After treatment, the levels of TNF-α, IL-8, IL-6 and sICAM-1 in the two groups were lower than those before treatment, and those in the experimental group were lower than the control group (P<0.05). The incidence of adverse reactions in the experimental group was slightly lower than that in the control group, but the difference was not statistically significant (P>0.05).Conclusion Ceftazidime combined with budesonide has a good therapeutic effect on children with pneumonia, which can effectively alleviate the clinical symptoms of children with pneumonia, improve serological indicators and laboratory indicators, and has good safety.

参考文献/References:

[1]龚俊飞.头孢他啶联合布地奈德治疗儿童支气管肺炎的疗效观察[J].透析与人工器官,2019,30(3):83-85.[2]牛春梅.小儿热速清颗粒联合阿奇霉素治疗小儿肺炎支原体肺炎的疗效[J].中国药物与临床,2020,20(16):2767-2769.[3]Sherwin KB,Zhuang LN,Serubbabel S,et al.Clinical Pharmacokinetics and Pharmacodynamics of Ceftazidime-Avibactam Combination: A Model-Informed Strategy for its Clinical Development[J].Clin Phamcokinet,2018,58(5):1-20.[4]鲁艳,刘东华.呼吸机相关性肺炎患者耐碳青霉烯类肺炎克雷伯菌病原菌分析及耐药性监测[J].临床肺科杂志,2020,25(6):853-856.[5]阮伟良,陈胜海.雾化吸入较大剂量布地奈德治疗COPD急性加重期的临床观察[J].浙江医学,2016,38(12):1026-1027. [6]Stern A,Skalsky K,Avni T,et al.Corticosteroids for pneumonia[J].Cochrane Database Syst Rev,2017,12(12):CD007720.[7]Kumar S,Roy RD,Sethi GR,et al.Mycoplasma pneumoniae infection and asthma in children[J].Trop Doct,2019,49(2):117-119.[8]张劲草,田文娟,李晓玲.知信行健康教育模式对小儿肺炎患者家长疾病认知度负性情绪及护理满意度的影响[J].山西医药杂志,2020,49(5):603-605.[9]王秀琴.小儿肺炎支原体肺炎的临床特点及诊治分析[J].山西医药杂志,2018,47(10):1195-1196.[10]邱洪生,廖欢,刘芳,等.多巴胺联合酚妥拉明治疗小儿肺炎合并心力衰竭的临床研究[J].中国临床药理学杂志,2019,35(24):3179-3182.[11]阿爽,马少春,常红.复方甘草酸苷联合阿奇霉素治疗小儿肺炎支原体肺炎的疗效及安全性评价[J].中国医院药学杂志,2019,39(1):76-80.[12]娜仁,胡天鹏.小儿肺炎常见病原菌及其耐药性分析[J].中国感染控制杂志,2008,7(5):353-354.[13]胡根彪,王红丽.哌拉西林与头孢他啶治疗小儿肺炎的临床效果比较[J].中国生化药物杂志,2017,37(11):200-201.[14]马艳.头孢他啶钠联合阿奇霉素治疗小儿肺炎支原体肺炎的临床效果分析[J].中外医学研究,2019,17(2):152-153.[15]于季红,闫中强,赵秀梅,等.阿米卡星联合哌拉西林他唑巴坦钠治疗老年重症肺炎的临床疗效[J].中华医院感染学杂志,2020,30(18):2759-2763.[16]杨明明,卢慧娜,周瑜,等.冬病夏治三伏贴联合吸入糖皮质激素治疗儿童哮喘的疗效分析[J].重庆医学,2020,49(3):387-390.[17]高轶峰,宋岩涛,刘洋,等.吸入糖皮质激素联合长效β2受体激动剂治疗支气管哮喘的效果对比[J].心血管外科杂志(电子版),2019,8(1):80-81.[18]杨琛.多巴胺联合布地奈德对肺炎患儿临床疗效及血清CRP、sICAM-1、TNF-α水平的影响[J].中外医学研究,2021,19(9):28-31.[19]杨倩,余瑶,刘树青.布地奈德和沙丁胺醇雾化吸入对小儿支气管肺炎的治疗效果[J].基因组学与应用生物学,2019,38(5):2388-2392.[20]张静,尹君平.特布他林合布地奈德治疗肺炎患儿的疗效及对肺功能的影响[J].实用中西医结合临床,2020,20(8):84-85.[21]米思璐,常春亮.盐酸氨溴索联合布地奈德雾化吸入治疗新生儿肺炎的临床疗效[J].临床合理用药杂志,2019,12(9):74-75.

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更新日期/Last Update: 1900-01-01