摘要
目的:探讨唐山市急性上呼吸道感染继发急性中耳炎患儿临床治疗分析。方法:将118例急性上呼吸道感染继发急性中耳炎患儿分为两组,全部患者给予头孢曲松钠治疗,对照组采用氯霉素滴耳液治疗,观察组采用布地奈德混悬液雾化吸入治疗,对比两组疗效及临床症状改善情况。结果:观察组总有效率显著高于对照组(93.22%vs 77.97%)差异有统计学意义;观察组病原菌转阴率(89.43%)、鼓室压有效降低率(94.92%)显著高于对照组(65.71%and 81.36%),差异有统计学意义;观察组听力改善程度、起效时间、住院时间均显著优于对照组,差异有统计学意义;观察组不良反应发生率与对照组对比(6.78%vs 16.95%),差异无统计学意义。结论:布地奈德混悬液雾化吸入联合头孢曲松治疗小儿急性上呼吸道感染继发急性中耳炎的疗效显著,能显著改善患儿临床症状,改善听力水平,促进咽鼓管功能恢复。
Objective: To investigate the clinical treatment of acute otitis media with acute otitis media in Tangshan City. Methods: 118 cases of acute upper respiratory tract infection secondary to acute otitis media were divided into two groups. All patients were given ceftriaxone treatment. The control group using chloramphenicol treatment. The observation group with budesonide inhalation on. The efficacy and clinical symptoms of the two groups were compared. Results: the total effective rate in the observation group was significantly higher than that in the control group (93.22% vs 77.97%). The difference was statisti-cally significant; observation group of pathogenic bacteria negative rate (89.43%), effectively reduce the rate of tympanic pres-sure (94.92%) was significantly higher than the control group (65.71% and 81.36%). The difference was statistically significant. The hearing improvement, the onset time and the length of hospital stay in the observation group were significantly better than those in the control group. Difference was statistically significant. The incidence of adverse reactions in observation group was compared with that of control group (6.78% vs 16.95%). There was no statistically significant difference.Conclusion: the cura-tive effect of budesonide inhalation of secondary acute otitis media combined with ceftriaxone in the treatment of children with acute upper respiratory tract infection significantly, can significantly improve the clinical symptoms, improve the hearing level, promote the recovery of eustachian tube function.
出处
《湖南师范大学学报（医学版）》
2016年第2期107-110,共4页
Journal of Hunan Normal University(Medical Sciences)
