PCT检测指导婴幼儿不同分型中耳炎诊疗分析

DIAGNOSIS AND TREATMENT OF PCT DYNAMIC INSPECTION GUIDE DIFFERENT CLASSIFICATION OTITIS MEDIA IN INFANT

目的探讨婴幼儿不同分型中耳炎的治疗策略,预防抗生素滥用。方法对该院2015年1月—2016年12月门急诊收治的婴幼儿中耳炎患者1 080例(其中急性中耳炎864例,分泌性中耳炎179例,非渗出性中耳炎26例,咽鼓管功能障碍11例)做回顾性研究。结果 1 080名中耳炎患儿依家长自愿分为血清降钙素原组(PCT组)和经验治疗组(非PCT组),动态检测PCT组抗生素使用时间及使用率均小于非PCT组,差异有统计学意义(P<0.01),而治疗时间和有效率差异无统计学意义(P>0.05)。结论采用降钙素原(PCT)动态检测指导婴幼儿中耳炎治疗可降低抗生素的使用,在取得良好治疗效果的同时,避免抗生素滥用,降低药品花费。

Objective To explore the treatment strategies of different classification otitis media in infant,and to prevent the abuse of antibiotics.Methods We retrospectively analyzed 1080 infant with different classification otitis media treated at author＇s hospital from January 2015 to December 2016（864 cases of acute otitis media,179 cases of secretory otitis media,26 cases of otitis media without effusion,11 cases ofeustachian tube dysfunction）.Results A total of 1 080 cases of infant with different classification otitis media were divided into the PCT group and the conventional treatment group,the frequency and time of using antibiotic in PCT groups was lower than the non PCT group,the differences was statistically significant（P〈0.01）;however,the time of therapy and clinical effectiveness was not significant difference（P〉0.05）.Conclusion Procalcitonin（PCT）dynamic inspection guide infants and young children otitis media treatment can reduce the use of antibiotics,obtain good treatment effect and avoid the abuse of antibiotics,reduce the medical cost.