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目的:分析小儿手足口病(HFMD)合并肺炎支原体感染(MP)的临床特征与治疗。方法:从2013年2月到2014年1月与我院治疗的HFMD患儿共338例,选取其中88例合并MP的患儿作为研究对象,对该组患儿的临床表现,治疗手段,疗效与转归等情况进行回归分析。结果:本次研究中小儿HFMD合并MP的发病率为26.04%,多见于2-5岁HFMD患儿中,临床表现除HFMD典型手、足、口部疱疹等症状外,有80例患儿存在发热症状,占90.91%,13例咳嗽,占14.77%,3例症状严重,除HFMD典型症状外,还存在抽搐、抖动等症状,占3.41%,本组患儿通过口服及静脉滴注阿奇霉素治疗,均起到显著疗效,两种方式的疗效无显著性差异(p>0.05)。结论:小儿手足口病易引发肺炎支原体感染,对患儿造成进一步伤害,建议及早监测,并及时给予抗感染治疗,缓解症状,提高治疗效果。
Objective: To analyze the clinical features and treatment of infantile hand-foot-and-mouth disease (HFMD) complicated with Mycoplasma pneumoniae infection (MP). Methods: A total of 338 children with HFMD who were treated in our hospital from February 2013 to January 2014 were enrolled in this study. 88 children with MP were enrolled in this study. The clinical manifestations, treatment, efficacy And the outcome of regression analysis. Results: The incidence of MP in children with HFMD in this study was 26.04%, which was more common in HFMD children aged 2-5 years. The clinical manifestations were 80 cases except HFMD typical hand, foot and mouth sores Fever symptoms, accounting for 90.91%, 13 cases of cough, accounting for 14.77%, 3 cases of severe symptoms, in addition to the typical symptoms of HFMD, there are convulsions, jitter and other symptoms, accounting for 3.41%, the group of children treated by oral and intravenous azithromycin , Both played a significant effect, no significant difference between the two methods (p> 0.05). Conclusion: Hand-foot-mouth disease in children can easily lead to Mycoplasma pneumoniae infection, causing further harm to children. It is recommended to monitor early and timely anti-infective treatment to relieve symptoms and improve the therapeutic effect.