抗感染药物联合糖皮质激素在儿科急诊重症肺炎患儿治疗中的临床效果及不良反应分析

doi:10.3969/j.issn.1001-8131.2026.04.010

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Abstract Objective To investigate the clinical efficacy and incidence of adverse reactions of anti-infective drugs combined with glucocorticoids in the treatment of children with severe pneumonia in pediatric emergency,and to provide a reference for optimizing clinical treatment regimens. Methods A total of 90 children with severe pneumonia admitted to the pediatric emergency department of our hospital from July 2025 to December were selected and randomly divided into the control group and the observation group with 45 cases in each group using a random number table method.The control group was treated with anti-infective drugs alone,while the observation group was treated with glucocorticoids on the basis of the control group.Both groups completed standardized treatment and follow-up.The disappearance time of clinical symptoms and signs,laboratory inflammatory indicators before and after treatment,absorption of pulmonary lesions,respiratory function indicators,clinical efficacy,length of hospital stay and incidence of adverse reactions were compared between the two groups. Results The disappearance time of fever,cough,dyspnea and absorption time of pulmonary rales in the observation group were significantly shorter than those in the control group(P<0.05).After treatment,the peripheral blood white blood cell count(WBC),C-reactive protein(CRP) and procalcitonin(PCT) in both groups were significantly lower than those before treatment,and the levels of each indicator in the observation group were significantly lower than those in the control group(P<0.05).The complete absorption rate of pulmonary lesions in the observation group(71.11%) was significantly higher than that in the control group(40.00%)(P<0.05).After treatment,the blood oxygen saturation(SpO₂),forced vital capacity(FVC),forced expiratory volume in the first second(FEV₁) and FEV₁/FVC in the observation group were significantly better than those in the control group(P<0.05).The total clinical effective rate and clinical cure rate in the observation group were significantly higher than those in the control group(P<0.05),and the length of hospital stay was significantly shorter than that in the control group(P<0.05).The adverse reactions in both groups were mainly mild to moderate gastrointestinal reactions and electrolyte disturbances,with no severe adverse reactions occurred.There was no statistically significant difference in the total incidence of adverse reactions between the observation group(11.11%) and the control group(15.56%)(P>0.05). Conclusion Anti-infective drugs combined with glucocorticoids in the treatment of children with severe pneumonia in pediatric emergency can rapidly relieve clinical symptoms,effectively reduce inflammatory indicators,promote the absorption of pulmonary lesions and the recovery of respiratory function,improve clinical efficacy and shorten the length of hospital stay.Moreover,standardized medication does not increase the risk of adverse reactions with good medication safety,which is worthy of clinical promotion and application.

Key words： Pediatric emergency Severe pneumonia Anti-infective drugs Glucocorticoids Clinical efficacy Adverse reactions

Received: 01 April 2026

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R563.1

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	Xu Shan

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Xu Shan. Clinical Efficacy and Adverse Reaction Analysis of Anti-infective Drugs Combined with Glucocorticoids in the Treatment of Children with Severe Pneumonia in Pediatric Emergency[J]. journal1, 2026, 46(4): 30-34.

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http://www.hrbyybjb.org.cn/EN/10.3969/j.issn.1001-8131.2026.04.010 OR http://www.hrbyybjb.org.cn/EN/Y2026/V46/I4/30

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