地塞米松佐治小儿化脓性扁桃体炎发热的利弊

Analyze the advantages and disadvantages of dexamethasone in treating infantile fester tonsillitis

目的:对地塞米松治疗小儿化脓扁桃体炎发热进行利弊分析。方法:将38例化脓性扁桃体炎患儿随机分为观察组与对照组,两组均用相同抗茼、退热方案治疗,观察组加用地塞米松0.2 mg/kg,肌肉注射,1次/d。对退热时间和复发次数进行比较分析。结果:观察组较对照组退热时间明显缩短。P<0.05,但复发次数明显增多,P<0.01。结论:临床上不能常规将地塞米松作为退热剂来使用,但对于急性化脓性扁桃体炎全身症状严重患儿,可酌情使用地塞米松。

Objective: To analyze the advantages and disadvantages of dexamethasone in treating infantile fester tonsillitis. Method: thirty-eight cases of sick children who suffer from fester tonsillitis were divided into two groups, an observation group and a contrast group. Both groups had the treatment of the same antibiotic and anti-fever program. The observation group was treated with additional intramuscular injection of dexamethasone 0. 2 mg/kg, once a day. The time for fever down and the times of recurrence of the fever were comparing and analyzed. Results: Compared with the contrast group, the observation group obviously has the fever shortened, P < 0. 05, but the time of recurrence obviously increase, P < 0. 01. Conclusion: In clinical practice, we can't take dexamethasone as a regular antipyretic, but for the sick children who suffer from acute fester tonsillitis, with serious symptoms all over, dexamethasone can be used properly.