不同方案治疗小儿急性上呼吸道感染149例疗效观察

Comparison of different therapies for upper respiratory tract infections:report of 149 cases

目的:观察、比较几种不同方案治疗小儿急性上呼吸道感染的疗效。方法:选择儿科门诊单纯急性上呼吸道感染病例149例,随机分为抗生素加抗病毒药物治疗组(A组)51例、抗病毒治疗组(B组)50例、对症治疗组(C组)48例进行观察疗效。结果:3组总有效率分别为90.2%、88.0%和85.4%。3组疗效差异无统计学意义(P>0.05)。结论:小儿单纯上呼吸道感染应用抗生素和抗病毒治疗均不能改变病程和转归,对症处理是理想的方法。

Objective：To compare the outcome of three therapies for acute upper respiratory tract infections（AURTI） in children. Methods：One hundred and forty-nine children with simple AURTI were randomized into three groups：group A were administered oral antibiotics and antiviral drugs, group B antiviral drugs and group C symptomatic therapy. The outcome was observed and analyzed. Results：The total response rates of the three groups were 90.2% , 88.0% and 85.4% , respectively, with no significant statistical difference among them （ P 〉 0.05 ）. Conclusions ： Symptomatic therapy is the optimal regimen. Antibiotics have no effect on AURTI.