论文部分内容阅读
目的分析儿童肺炎支原体感染病例的临床特点、治疗方案以及预后。方法选取肺炎支原体感染患儿567例,通过发病时首次出现的主要症状分为发热组和咳嗽组,分别对两组儿童的胸片、并发症、复发率以及治疗、预后等进行回顾性分析。结果发热组胸片肺炎改变多、并发症多、复发率低,而咳嗽组反之,差异有统计学意义(P<0.05);两组治疗有所偏重,发热组关键是积极抗炎,咳嗽组则要注重抗过敏对症支持治疗;咳嗽组反复感染的原因是医护人员忽视了呼吸道的护理以及对患儿饮食、活动、心理安抚的健康宣教。结论可根据首发症状、并发症评估病情,引入临床路径,做到早确诊、早治疗;重视健康促进,鼓励家长积极参与患儿的治疗,减少复发。
Objective To analyze the clinical features, treatment and prognosis of children with Mycoplasma pneumoniae infection. Methods A total of 567 children with mycoplasma pneumoniae infection were selected and divided into fever group and cough group according to the first symptoms at onset. The chest radiograph, complications, recurrence rate, treatment and prognosis of the two groups were retrospectively analyzed. Results In the fever group, there were many changes of chest radiograph, complications and low recurrence rate, but the cough group had a significant difference (P <0.05). The treatment of both groups was biased. The key to fever group was active anti-inflammatory and cough group You should pay attention to anti-allergic symptomatic supportive treatment; cough group repeatedly infected because of neglect of respiratory care and health care workers on children’s diet, activity, psychological comfort to educate. Conclusion According to the first symptom and complication, we can assess the condition, introduce the clinical path, and make early diagnosis and early treatment. We should pay attention to health promotion, encourage parents to actively participate in the treatment of children and reduce recurrence.