小儿肺炎支原体肺外感染特点与支原体肺炎的中医药治疗(1)
[摘要] 目的 结合临床接诊经验，分析小儿肺炎支原体肺外感染特点，总结支原体肺炎的中医药治疗体会。 方法 将我院2013年6月～2014年6月收纳的56例肺炎支原体肺炎患儿作为研究对象。随机将患儿均分为对照组与观察组，对照组患儿住院期间接受常规治疗；观察组患儿住院期间在对照组治疗的基础上，另使用中药辅助治疗。 结果 小儿肺炎支原体肺外感染患儿临床多伴有发热、剧烈咳嗽等症状，X线表现单侧病变，且下肺发生病变的几率比上肺更高。对照组与观察组治疗总有效率分别为：71.4%和92.9%，两组对比差异显著(P<0.05)，具有统计学意义。 结论 肺炎支原体肺炎临床症状尤为明显，体征较为轻微，经X线胸片检查，可发现明显阴影。中医药治疗小儿肺炎支原体肺外感染疗效显著，适合于临床推广应用。
[关键词] 小儿肺炎支原体肺外感染；支原体肺炎；中医药
[中图分类号] R272 [文献标识码] B [文章编号] 2095-0616(2015)16-78-03
, http://www.100md.com
Characteristics of Mycoplasma pneumoniae infection in children with pulmonary and traditional Chinese medicine treatment of mycoplasma pneumonia
SAI Qin
211 Hospital of PLA，Harbin 150001，China
[Abstract] Objective To analysis the characteristics of Mycoplasma pneumoniae infection in children with pulmonary and to summarize the experience of Chinese medicine treatment of mycoplasma pneumonia combined with clinical experience in admissions. Methods 56 cases of Mycoplasma pneumoniae pneumonia in our hospital from June 2013 to June 2014 were studied as the research object.Children were randomly divided into control group and observation group.Control group was given conventional treatment during hospitalization.On the basis of the control group，the observation group was treated with Chinese herbal medicine. Results Mycoplasma pneumoniae clinical pulmonary infection in children was usually accompanied by fever，coughing and other symptoms，X-ray findings of unilateral lesions，and the lower the probability of the occurrence of lung disease than lung higher.The total effective of control group and observation group were as follows：71.4% and 92.9%.Two groups were significantly different (P<0.05)，with statistical significance. Conclusion The symptom of Mycoplasma pneumoniae pneumonia is especially obvious.Significant shadow can be found in by X-ray examination.Traditional Chinese medicine in the treatment of children with Mycoplasma pneumoniae infection is significant，and is suitable for clinical application.
, http://www.100md.com
[Key Words] Mycoplasma pneumoniae infection in children with pulmonary；Mycoplasma pneumonia； Traditional Chinese Medicine
肺炎支原体(Mycoplasm a Pneumoniae，MP)是引起小儿呼吸道感染的主要病原，小儿支原体肺炎的发生，会严重威胁到患儿生命健康与安全。然而，由于该疾病早期肺部体征并不明显，临床表现以咳嗽、咽痛为主，因此容易被家长误认为普通感冒[1-3]。小儿支原体肺炎潜伏期长，病情发展至中后期容易引发系列严重并发症，死亡率极高。及时确诊与有效救治是改善预后的关键[4-6]，为此本文将我院2013年6月～2014年6月收纳的56例肺炎支原体肺炎患儿作为研究对象，结合临床接诊经验，分析小儿肺炎支原体肺外感染特点，总结支原体肺炎的中医药治疗体会。
1 资料与方法
1.1 一般资料
将我院2013年6月～2014年6月收纳的56例肺炎支原体肺炎患儿作为研究对象，对患儿住院期间临床表现，实验检查、X线表现特点等资料进行回顾性分析。随机将患者均分为对照组(28例)与观察组(28例)，对照组28例患儿中，男患儿15例，女患儿13例；患儿年龄在2～15岁，平均(8.5±4.3)岁；病程2～28d，平均(15.0±5.2)d。观察组28例患儿中，男患儿17例，女患儿21例；年龄在1～15岁之间，平均(7.5±6.4)岁；病程3～26d，平均(14.5±4.6)d。两组患者均排除心肺等重要器官功能障碍疾病，患儿及其家属均知晓本次研究详情，性别、年龄等一般资料经统计学处理，差异无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(赛琴?尹艳艳)
[关键词] 小儿肺炎支原体肺外感染；支原体肺炎；中医药
[中图分类号] R272 [文献标识码] B [文章编号] 2095-0616(2015)16-78-03
, http://www.100md.com
Characteristics of Mycoplasma pneumoniae infection in children with pulmonary and traditional Chinese medicine treatment of mycoplasma pneumonia
SAI Qin
211 Hospital of PLA，Harbin 150001，China
[Abstract] Objective To analysis the characteristics of Mycoplasma pneumoniae infection in children with pulmonary and to summarize the experience of Chinese medicine treatment of mycoplasma pneumonia combined with clinical experience in admissions. Methods 56 cases of Mycoplasma pneumoniae pneumonia in our hospital from June 2013 to June 2014 were studied as the research object.Children were randomly divided into control group and observation group.Control group was given conventional treatment during hospitalization.On the basis of the control group，the observation group was treated with Chinese herbal medicine. Results Mycoplasma pneumoniae clinical pulmonary infection in children was usually accompanied by fever，coughing and other symptoms，X-ray findings of unilateral lesions，and the lower the probability of the occurrence of lung disease than lung higher.The total effective of control group and observation group were as follows：71.4% and 92.9%.Two groups were significantly different (P<0.05)，with statistical significance. Conclusion The symptom of Mycoplasma pneumoniae pneumonia is especially obvious.Significant shadow can be found in by X-ray examination.Traditional Chinese medicine in the treatment of children with Mycoplasma pneumoniae infection is significant，and is suitable for clinical application.
, http://www.100md.com
[Key Words] Mycoplasma pneumoniae infection in children with pulmonary；Mycoplasma pneumonia； Traditional Chinese Medicine
肺炎支原体(Mycoplasm a Pneumoniae，MP)是引起小儿呼吸道感染的主要病原，小儿支原体肺炎的发生，会严重威胁到患儿生命健康与安全。然而，由于该疾病早期肺部体征并不明显，临床表现以咳嗽、咽痛为主，因此容易被家长误认为普通感冒[1-3]。小儿支原体肺炎潜伏期长，病情发展至中后期容易引发系列严重并发症，死亡率极高。及时确诊与有效救治是改善预后的关键[4-6]，为此本文将我院2013年6月～2014年6月收纳的56例肺炎支原体肺炎患儿作为研究对象，结合临床接诊经验，分析小儿肺炎支原体肺外感染特点，总结支原体肺炎的中医药治疗体会。
1 资料与方法
1.1 一般资料
将我院2013年6月～2014年6月收纳的56例肺炎支原体肺炎患儿作为研究对象，对患儿住院期间临床表现，实验检查、X线表现特点等资料进行回顾性分析。随机将患者均分为对照组(28例)与观察组(28例)，对照组28例患儿中，男患儿15例，女患儿13例；患儿年龄在2～15岁，平均(8.5±4.3)岁；病程2～28d，平均(15.0±5.2)d。观察组28例患儿中，男患儿17例，女患儿21例；年龄在1～15岁之间，平均(7.5±6.4)岁；病程3～26d，平均(14.5±4.6)d。两组患者均排除心肺等重要器官功能障碍疾病，患儿及其家属均知晓本次研究详情，性别、年龄等一般资料经统计学处理，差异无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(赛琴?尹艳艳)