双料喉风散治疗儿童急性化脓性中耳炎的临床研究

发布时间：2018-06-30 04:18

本文选题：儿童 + 急性化脓性中耳炎　；参考：《中国中医基础医学杂志》2014年04期

【摘要】：目的:探讨双料喉风散治疗儿童急性化脓性中耳炎临床疗效和安全性。方法:对61例儿童急性化脓性中耳炎患者按随机数字表法分为治疗组(30例)和对照组(31例),2组均给予头孢克洛分散片30 mg/kg/d,分3次服用,连服1周;全身症状严重者先给予静脉滴注头孢呋辛100 mg/kg/d,分2次给药,同时给予支持治疗,连用3~5 d,再给予头孢克洛分散片序贯治疗,总疗程7~10 d。治疗组加局部喷敷双料喉风散,每次1喷,每日3次,连用1周为1个疗程。对照组加用3%双氧水将耳朵清洗干净,再用棉签拭净,每日3次,连用1周为1个疗程。结果:治疗组和对照组总有效率分别为90.0%、67.7%,2组痊愈患者半年内复发率分别为6.3%、50.0%,差异有统计学意义(P0.05)。结论:双料喉风散联合抗菌药物治疗儿童急性化脓性中耳炎是安全有效的,值得临床推广使用。
[Abstract]:Objective: to investigate the clinical efficacy and safety of Shuangxuaofeng Powder in the treatment of acute suppurative otitis media in children. Methods: 61 children with acute suppurative otitis media were randomly divided into treatment group (30 cases) and control group (31 cases). Patients with severe systemic symptoms were given intravenous drip of cefuroxime 100 mg / kg / d in two doses, followed by supportive therapy for 3 to 5 days, followed by sequential treatment of cefaclor dispersible tablets for a total course of 7 to 10 days. In the treatment group, the treatment group was treated with local spray, 1 spray, 3 times a day, for 1 week as a course of treatment. In the control group, the ears were washed with 3% hydrogen peroxide, then swabbed with cotton swabs, 3 times a day for 1 week as a course of treatment. Results: the total effective rates of the treatment group and the control group were 90.0 and 67.7%, respectively. The recurrence rate of the two groups within half a year was 6.3and 50.0.The difference was statistically significant (P0.05). Conclusion: it is safe and effective to treat acute suppurative otitis media in children with Shuangshuifeng Powder combined with antimicrobial agents, and it is worth popularizing in clinic.
【作者单位】：丽水市人民医院儿科;丽水市第二人民医院;
【分类号】：R764.21

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