60例小儿中性粒细胞减少症的临床治疗探讨

罗春龙

扬州市江都妇幼保健院儿科，江苏扬州2225200

[摘要]目的分析小儿中性粒细胞减少症的临床表现和治疗措施。方法随机选取该院2013年2月—2014年4月收治的小儿中性粒细胞减少症患儿60例进行临床分析。将60例患儿分为两组，实验组患儿30例，对照组患儿30例。实验组患儿采用常规的抗病毒药物治疗的基础上，使用利可君升白细胞药物进行治疗。对照组患者只应用抗病毒药物治疗。对比两组患儿的治疗有效率，对比两组患儿在治疗前后白细胞的数量和中性粒细胞绝对值的变化。结果实验组患者中有25例患者治愈，有效率为83.33%，对照组患者有19例患者痊愈，有效率为63.33%，实验组患者的有效率明显高于对照组，P＜0.05表示差异有统计学意义。结论小儿中性粒细胞减少症严重的危害小儿的成长发育，临床上主要通过运用抗生素进行预防为主要措施，医生在临床治疗中，尽早的进行诊断，及时的采取有效措施进行能够治疗，能够避免对患儿造成严重的伤害。

关键词［］小儿中性粒细胞减少症；小儿疾病；临床治疗

[中图分类号]R725

[文献标识码]A

[文章编号]1674-0742（2015）10（a）－0077-03

[作者简介]罗春龙（1971-），男，江苏扬州人，本科，副主任医师，主要从事儿科方面工作。

Abstract[]Objective To analyze the clinical manifestations and treatment of children with neutropenia syndrome.Methods A clinical analysis was performed on 60 children with neutropenia syndrome admitted to this hospital from February 2013 and April 2014.They were divided into experimental group and control group with 30 in each one.Patients in the experimental group were treated with leucogen leucocyte-stimulating agents on the basis of conventional antiviral therapy, while those in the control group underwent conventional antiviral therapy singly.The effective rate and changes of number of white blood cells and absolute value of neutrophil before and after treatment were compared between the two groups.Results 25 patients were cured in the experimental group with an effective rate of 83.33%, while 19 were cured in the control group with an effective rate of 63.33%, and the effective rate was higher in the experiment group than in the control group with statistically significant difference, P＜0.05.Conclusion Pediatric neutropenia syndrome can adversely impact children's growth and development, and antiviral therapy was mainly performed in its prevention.Early diagnosis and timely treatment through effective measures can reduce its negative influence on children.

收稿日期：（2015-06-26）

Treatment of Children with Neutropenia Syndrome: An Observation on 38 Cases

LUO Chun-long

Department of Pediatrics, Jiangdu Maternity and Child Health Care Hospital, Yangzhou, Jiangsu Province, 2225200 China

[Key words]Children neutropenia syndrome; Children diseases; Clinical treatment

随着我国临床上解热镇痛药物以及抗生素的广泛应用，导致小儿中性粒细胞减少症的发病率逐渐上涨[1]。引起中性粒细胞减少的因素非常多，在小儿中性粒细胞减少症中最常见的影响因素是感染，感染病原菌包括细菌、病毒、真菌等等，这些病原菌中最常见的就是病毒感染。……