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目的研究抗生素降阶梯治疗小儿重症肺炎的临床疗效,为临床治疗提供可参考依据。方法 98例重症肺炎患儿,按照单双号数字法分为研究组和对照组,每组49例。对照组采用常规抗感染治疗,研究组采用抗生素阶梯治疗方案。比较两组患儿的临床疗效、住院时间以及抗生素使用时间。结果研究组总有效率95.92%,对照组总有效率71.43%,研究组总有效率显著高于对照组,差异有统计学意义(P<0.05)。研究组平均住院时间以及抗生素治疗时间均比对照组显著缩短,差异有统计学意义(P<0.05)。结论应用抗生素降阶梯治疗小儿重症肺炎,临床效果显著,能缩短治疗周期和住院时间,改善患儿预后,可以在临床治疗中推广应用。
Objective To study the clinical efficacy of antibiotic descending ladder in the treatment of pediatric severe pneumonia and provide a reference for clinical treatment. Methods A total of 98 children with severe pneumonia were divided into study group and control group according to single and double number method, 49 cases in each group. The control group was treated with conventional anti-infective therapy and the study group was treated with antibiotic ladder treatment. The clinical efficacy, duration of hospitalization and antibiotic use time were compared between the two groups. Results The total effective rate was 95.92% in the study group and 71.43% in the control group. The total effective rate in the study group was significantly higher than that in the control group (P <0.05). The average length of hospital stay and the duration of antibiotic treatment in the study group were significantly shorter than those in the control group (P <0.05). Conclusion The application of antibiotic descending ladder in the treatment of pediatric severe pneumonia has significant clinical effect, which can shorten the treatment period and hospitalization time, improve the prognosis of children and can be widely applied in clinical treatment.