喜炎平与痰热清注射液治疗小儿急性化脓性扁桃体炎疗效对比观察

Curative effect observation of Xiyanping and Tanreqing Injection in the treatment of children with acute suppurative tonsillitis

目的对比喜炎平与痰热清注射液治疗小儿急性化脓性扁桃体炎的临床疗效。方法将120例急性化脓性扁桃体炎患儿随机分为喜炎平组和痰热清组各60例,2组患儿分别在静脉滴注上述药物的同时,均给予静脉滴注阿奇霉素,5 d为1个疗程。观察并比较2组治疗后的临床疗效、平均退热时间、平均咽痛消失时间、平均止咳时间、扁桃体肿大和白细胞复常的情况。结果喜炎平和痰热清注射液治疗后的总有效率分别为96.67%,91.67%(P>0.05);痰热清组的平均止咳时间短于喜炎平组(P<0.05),2组平均退热时间、咽痛消失时间以及治疗后白细胞复常率差异均无统计意义(P>0.05)。结论喜炎平或痰热清注射液联合阿奇霉素治疗急性化脓性扁桃体炎均有显著的临床疗效,痰热清注射液在缓解患儿咳嗽症状方面更有优势。

Objective To compare the clinical effect of Xiyanping and Tanreqing Injection in the treatment of pediatric acute suppurative tonsillitis. Methods 120 cases of acute suppurative tonsillitis were randomly divided into Xiyanping group and Tanreqing group,60 cases in each group. 2 groups of children were also given an intravenous infusion of azithromycin,5 d for 1 course. The clinical efficacy,average fever time,average sore throat,cough time,tonsil enlargement time and leukocyte recovery situation were observed and compared after treatment.Results The total effective rate was 96. 67% in Xiyanping group,91. 67% in Tanreqing group（P〉0. 05）. Tanreqing group was shorter in average cough time than the Xi Yanping group（P〈0. 05）,average fever time,sore throat time,white blood cell recovery rate showed no statistical significance（P〉0. 05）. Conclusion Xiyanping or Tanreqing Injection combined with azithromycin in the treatment of acute suppurative tonsillitis has significant clinical efficacy in relieving cough,and Tanreqing Injection has the advantages over Xiyanping.