期刊文献+

免疫球蛋白治疗新生儿感染性肺炎效果评价 被引量:16

Effect of immunoglobulin on the clinical manifestation,percutaneous oxygen saturation and IgG level of neonates with infective pneumonia
在线阅读 下载PDF
导出
摘要 目的:分析免疫球蛋白治疗对新生儿感染性肺炎临床表现、经皮血氧饱和度和IgG水平的影响。方法:选择86例感染性肺炎患儿作为研究对象,随机分为2组,各43例;对照组给予常规治疗,联合组给予常规治疗+免疫球蛋白联合治疗。比较2组患儿治疗后临床疗效、临床症状改善、经皮血氧饱和度和IgG水平等指标差异。结果:联合组治疗总有效率为95.35%,高于对照组的76.74%(P<0.05)。联合组患儿治疗后吸痰次数、咳嗽缓解时间、退热时间、气促消失时间、肺部湿啰音时间及住院时间较对照组均明显减少(P<0.01)。2组患儿治疗后经皮血氧饱和度和IgG水平较治疗前均升高,且联合组较对照组升高(P<0.01)。结论:在常规治疗的基础上,对新生儿感染性肺炎患儿给予免疫球蛋白治疗可有效改善临床症状,减少症状消失或改善的时间,亦可有效提高患儿免疫功能,取得良好的治疗效果。 Objective:To analyze the effects of immunoglobulin therapy on the clinical manifestation,percutaneous oxygen saturation and IgG level of neonates with infective pneumonia.Methods:A total of 86 neonates with infectious pneumonia were randomly divided into the control group and combined group(43 cases in each group).The control group and combined group were treated with the routine method and routine method combined with immunoglobulin.The clinical effect,clinical symptom improvement,percutaneous oxygen saturation and IgG level were compared between two groups.Results:The total effective rate in combined group(95.35%)was higher than that in control group(76.74%)(P<0.05).After treatment,the sputum suction times,cough relief time,pyretolysis time,disappearance time of shortness of breath,time of moist rale in lung and time of hospitalization in combined group significantly reduced compared with control group(P<0.01).After treatment,the percutaneous oxygen saturation and IgG level in two groups were significantly higher than those before treatment,and which in combined group was significantly higher than that in control group(P<0.01).Conclusions:On the basis of the routine treatment,the immunoglobulin therapy in neonatal infectious pneumonia can effectively improve the clinical symptoms,reduce the symptom disappearance or improvement time,improve the immune function,and has better effect.
作者 田丽 TIAN Li(Neonatal Intensive Care Unit,Heze Municiple Hospital,Shandong Heze274000,China)
出处 《蚌埠医学院学报》 CAS 2019年第10期1341-1343,1348,共4页 Journal of Bengbu Medical College
关键词 新生儿肺炎 免疫球蛋白 血氧饱和度 IGG水平 neonatal pneumonia immunoglobulin oxygen saturation IgG level
作者简介 田丽(1981-),女,主治医师.
  • 相关文献

参考文献13

二级参考文献105

  • 1何江玲.应用人免疫球蛋白联合氨溴索治疗新生儿医院感染性肺炎的疗效观察[J].当代医药论丛,2014,12(7):159-160. 被引量:7
  • 2李重敬,朱煜英,何馥贞.新生儿感染性肺炎体液免疫的改变[J].新生儿科杂志,1995,10(4):179-180. 被引量:1
  • 3刘秀云,江载芳.小儿重症社区获得性肺炎31例病原分析[J].中国实用儿科杂志,2005,20(12):749-750. 被引量:47
  • 4中华人民共和国卫生部.新生儿肺炎防治方案[s].中华儿科杂志社,2005,25(1):49-50.
  • 5Simoes EA,Carbonell - Estrany X,Rieger CH. The effect of respiratory syncytial virus on subsequent recurrent wheezing in atopic and nonatopic children[ J]. J Allergy Clin Immunol, 2010,1 (2) : 256-262.
  • 6王吉耀.儿科学[M].北京:人民卫生出版社,2010:1 -8.
  • 7Takajo I,Yamamoto I,Umeki K, et al. Usefulness of serum procalcitonin measurement in the diagnosis of bacterial in- fection in patients with systemic autoimmune diseaes [ J ]. Rinsho Byori, 2012,60 ( 4 ) : 294.
  • 8Gtinal O, Ulutan F, Barut S. Procalcitonin [ J ]. Scand J In-fect Dis,2012,44(9) :710.
  • 9Diez-Padrisa N, Bassat Q, Machevo S, et al. Procalcitonin and C-reactive protein for invasive bacterial pneumonia di- agnosis among children in Mozambique, a malaria-endemic area[ J ]. PLoS One ,2010,5 ( 10 ) : e13226.
  • 10de Kruif MD, Limper M, Gerritsen H, et al. Additional val- ue of procalcitonin for diagnosis of infection in patients with fever at the emergency department [ J ]. Crit Care Med, 2010,38(2) :457.

共引文献233

同被引文献127

引证文献16

二级引证文献35

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部