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喜炎平治疗小儿下呼吸道感染临床疗效分析(1)
http://www.100md.com 2010年10月25日 张洪义
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     [摘要] 目的:探讨喜炎平治疗小儿下呼吸道感染的临床疗效。方法:本文将收治的下呼吸道感染患儿按照序贯法随机分为治疗组和对照组,对治疗组采用喜炎平治疗,并与常规给予抗感染及吸氧、平喘、退热、止咳等对症治疗的对照组进行临床疗效比较。结果:对两组患儿的临床治疗效果进行统计分析发现,治疗组的显效率和总有效率均明显高于对照组(P<0.05)。另外,对照组患儿中有4例出现稀便,而治疗组中有2例出现稀便,但两组患儿停药后症状自行消失,未出现严重药物不良反应,耐受性好。结论:在合理抗感染及对症治疗的同时,加用喜炎平治疗,可促进下呼吸道感染患儿的炎症消散,加速患儿症状的消失,提高肺部感染的控制率,促进患儿康复,值得临床推广应用。

    [关键词] 喜炎平;治疗;小儿;下呼吸道感染

    [中图分类号] R725.6 [文献标识码]B [文章编号]1674-4721(2010)10(c)-050-02

    Clinical analysis of Xiyanping in treating children with lower respiratory tract infection

    ZHANG Hongyi

    (Pharmacy Department of Dual Shop Central Hospital, Donghai County, Jiangsu Province, Donghai 222331, China)

    [Abstract] Objective: To investigate the clinical effect of Xiyanping in treating children with lower respiratory tract infection. Methods: Children with lower respiratory tract infection were randomly divided into two sequential treatment group and control group. The treatment group were treated with Xiyanping and the control group were given conventional antibiotics, oxygen, asthma, fever cough, etc. Compared clinical effect of the treatment group with the control group. Results: Statistical analysis showed that the efficiency of the treatment group and the total effective rate was significantly higher (P<0.05). In addition, patients in the control group, 4 patients had loose stools, while the treatment group 2 patients had loose stools, but the symptoms go away after treatment. No serious adverse drug reactions and well tolerated. Conclusion: While tacking reasonable anti-infective and symptomatic treatment methods, adding Xiyanping can promote inflammation dissipating, accelerating the disappearance of symptoms in children, improve the control rate of lung infection, and promote recovery in children. So, it is worthy of using in clinic.

    [Key words] Xiyanping; Treatment; Children; Lower respiratory tract infection

    下呼吸道感染是造成儿童住院的最常见疾病之一。下呼吸道感染包括支气管炎、支气管肺炎、哮喘伴感染和支气管异物伴感染等疾病。在发展中国家,病原体一般以细菌感染多见,而病原菌的分布特点则随着年代不同而变迁[1]。小儿下呼吸道解剖特点,气管、支气管较成人短且狭窄,黏膜柔嫩,血管丰富,软骨柔软,缺乏弹力组织,支撑作用差,黏液腺分泌不足,纤毛运动差。当下呼吸道感染时,不能有效清除呼吸道分泌物,容易引起呼吸道阻塞,严重时可危及生命。本院于2008年8月~2009年12月对小儿下呼吸道感染采用喜炎平治疗 ......

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