免疫球蛋白治疗儿童重症支原体肺炎的疗效

Wang Jun-na
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摘要

目的观察静脉注射人免疫球蛋白治疗小儿重症支原体肺炎的临床疗效及安全性。方法2010年10月至2011年11月在该院门诊及病房收治的重症支原体肺炎患儿133例,随机分为治疗组(56例)和对照组(57例)。所有患者均给予红霉素、阿奇霉素联合对症治疗2周。治疗组在对照组基础上静脉注射人免疫球蛋白400 mg/(kg·d),连续3 d。结果治疗组发热、咳嗽、喘鸣、湿啰无症状期分别为(2.1±1.3)d、(4.2±1.2)d、(2.5±1.2)d、(3.6±1.1)d,对照组分别为(3.3±1.0)d、(5.6±2.3)d、(4.3±2.5)d、(5.4±1.8)d。两组比较差异有统计学意义(P0.01)。结论静脉注射人免疫球蛋白治疗小儿支原体肺炎疗效好,副作用少。
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Effect of Immunoglobulin for Childhood Severe Mycoplasm Pneumonia
Objective To observe the clinical curative effect and safety of human immunoglobulin for intravenous injection in treating childhood severe mycoplasm pneumonia.Methods One hundred and thirty three children with severe mycoplasm pneumonia in clinic and wards of this hospital from October 2010 to November 2011 were randomly divided into treatment group(n=56) and control group(n=57).All the patients were administered with erythromycin,azithromycin and symptomatic treatment for two weeks.The treatment group also received human immunoglobulin for intravenous injection 400 mg/(kg·d) for 3 days compared to the control group.Results The symptom-free period of fever,cough,wheeze and wet rales in the treatment group were(2.1±1.3)d,(4.2±1.2)d,(2.5±1.2)d and(3.6±1.1)d,respectively;and in the control group(3.3±1.0)d,(5.6±2.3)d,(4.3±2.5)d and(5.4±1.8)d,respectively.The difference between the two group was statistically significant(P0.01).Conclusion Human immunoglobulin for intravenous injection has a greater efficacy and fewer side effects on children with mycoplasm pneumonia.
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期刊介绍: Chinese Journal of General Practice (CJGP), founded in March 2003, is supervised by the National Health Commission of the People’s Republic of China. CJGP is a peer-reviewed journal for research scientists, physicians, policy-makers, health administration, and public health professionals working on diverse disciplinaries of general medicine. Currently, CJGP is a source journal of Chinese Scientific and Technical Papers and Citations Database.
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