痰热清联合青霉素治疗46例儿童猩红热临床分析

目的 探讨痰热清联合青霉素治疗儿童猩红热的疗效.方法 选取2015年1月至2017年3月在我院住院诊断为猩红热的患儿共46例,采取随机数字表法分为试验组和对照组.对照组采取青霉素药物进行治疗,试验组在对照组基础上使用痰热清注射液进行辅佐治疗.结果 治疗7天,试验组患儿退热时间(20.39±1.12)h、咽痛缓解时间(25.26±1.10)h、皮疹消退时间(36.91±6.12)h,均短于对照组(23.91±1.20)h、(30.26±1.14)h和(70.52±2.31)h,差异均具有统计学意义(P<0.05).治疗3天后试验组的咽拭子检查阳性率为43.48%,CRP指数升高患儿12例,WBC指数升高患儿11例,明显低于对照组的78.26%,21例,20例,试验组患儿的实验室检测结果明显优于对照组,差异均具有统计学意义(P<0.05).结论 痰热清注射液应用于儿童猩红热疾病的辅佐治疗中具有较好的治疗效果.

Objective Discuss joint penicillin phlegm heat treatment the curative effect of scarlet fever in children.Methods Choose between January 2015 and March 2015 children hospitalized in our hospital diagnosed as scarlet fever,a total of 46 cases,to random number table method is divided into experimental group and control group.The control group treated with penicillin drugs,Patients in the control group on the basis of using phlegm heat injection for treatment.Results 7 days of treatment,the experimental group the time of fever,sore throat,rash subsided time remission time((20.39±1.12)h、(25.26±1.10)h、(36.91±6.12)h)were shorter than the control group((23.91±1.20)h、(30.26±1.14)h、(70.52±2.31)h),the differences were statistically significant(P<0.05).After 3 days of treatment in experimental group,pharyngeal swab examination positive rate was 43.48%,CRP index increased in 12 cases,WBC index increased in 11 cases,significantly lower than the control group 78.26%,21 cases,20 cases of experimental group,laboratory test results significantly better than the control group,the differences were statistically significant(P<0.05).Conclusion Phlegm heat injection is applied to the children in the adjuvant treatment of scarlet fever disease has good therapeutic effect.