降阶梯疗法治疗新生儿重症感染性肺炎的效果  

Effect of de-escalation therapy in the treatment of severe infectious pneumonia in newborns

作　　者：汪静 王凤娟 WANG Jing;WANG Fengjuan(Liaocheng Dongchangfu District Maternal and Child Health Hospital,Shandong Province,Liaocheng 252000,China)

机构地区：[1]山东省聊城市东昌府区妇幼保健院,山东聊城252000

出　　处：《妇儿健康导刊》2024年第16期75-78,共4页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：目的探讨降阶梯疗法治疗新生儿重症感染性肺炎的效果。方法选取2021年3月至2023年3月聊城市东昌府区妇幼保健院收治的80例重症感染性肺炎新生儿为研究对象,按照随机数字表法分为对照组(n=40,常规治疗)与观察组(n=40,降阶梯疗法),比较两组治疗效果。结果相较于对照组,观察组治疗总有效率更高(P<0.05);观察组临床指标(体温恢复时间、肺部啰音消失时间、呼吸平稳时间、住院时间)优于对照组(P<0.05);治疗后,观察组白细胞、C反应蛋白水平低于对照组(P<0.05);两组不良反应总发生率比较,差异无统计学意义(P>0.05)。结论降阶梯疗法治疗新生儿重症感染性肺炎的效果较好,能够加快临床症状恢复,且不会增加不良反应,值得推广。Objective To explore the effect of de-escalation therapy in the treatment of severe infectious pneumonia in newborns.Methods A total of 80 newborns with severe infectious pneumonia in Liaocheng Dongchangfu District Maternal and Child Health Hospital from March 2021 to March 2023 were selected and divided into control group(n=40,routine treatment)and observation group(n=40,de-escalation therapy)by the random number table method.The treatment effect of the two groups was compared.Results Compared with the control group,the total effective rate in the observation group was higher(P<0.05).The clinical indicators(temperature recovery time,r ales disappearance time,stable breathing time,hospital stay time)in the observation group were better than those in the control group(P<0.05).After treatment,the levels of white blood cell and C-reactive protein in the observation group were lower than those in the control group(P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion The effect of de-escalation therapy in the treatment of severe infectious pneumonia in newborns is better,which can accelerate the recovery of clinical symptoms,does not increase adverse reactions,and is worth promoting.

关 键 词：降阶梯疗法 新生儿重症感染性肺炎 临床症状 

分 类 号：R725.6[医药卫生—儿科]