热毒宁与痰热清治疗小儿急性细菌性下呼吸道感染的疗效观.docVIP

痰热清针剂与热毒宁针剂治疗小儿急性细菌性下呼吸道感染的疗效分析 摘要：目的：观察痰热清针剂和热毒宁针剂对小儿急性细菌性下呼吸道感染的临床疗效。 方法：随机选择2014年6月-2015年6月至我院进行小儿急性细菌性下呼吸道感染的患儿100例，使用随机数字表将患者随机分为观察组和对照组，各50例。所有患儿来诊后给予对症治疗，发热患儿给予退热治疗，咳嗽咳痰患儿给予止咳化痰治疗。根据患儿不同情况酌情使用抗生素。观察组患儿给予热毒宁针剂0.5-0.8ml/kg·d。共计7d。对症组患儿给予痰热清针剂0.5-1ml/kg·d。共计7d。观察两组患儿7d后的临床疗效，以及患儿起效时间及痊愈时间。结果：经过7d治疗，观察组27例痊愈，痊愈率为54.00%，总有效率为92.00%。对照组30例痊愈，痊愈率为60.00%，总有效率为90.00%。两组患者的痊愈率与总有效率无统计学差异（P0.05）。观察组患者平均起效时间为（1.52±0.37）d，平均治愈时间为（4.17±1.53）d。对照组患者平均起效时间为（2.49±0.81）d，平均治愈时间为（6.44±1.06）d。观察组患者的起效时间和治愈时间均快于对照组，且具有统计学差异（P0.05）。观察组患儿发热时间、咳喘时间、啰音消失时间以及住院时间均明显短于对照组，且具有统计学差异（P0.05）。结论：对于小儿急性细菌性下呼吸道感染，热毒宁与痰热清临床疗效无明显差别，但是热毒宁起效更快。 关键词：热毒宁；痰热清；小儿急性细菌性下呼吸道感染 Clinical observation of Reduning and Tanreqing on the treatment of lower respiratory tract in children with acute bacterial infection 【Abstract】 Objective: curative effect of Reduning and Tanreqing on the treatment of lower respiratory tract in children with acute bacterial infection. Methods: 100 cases with lower respiratory tract acute bacterial infection, which admitted in our hospital during?June 2014 - June 2015, were selected as the?research object and divided into the observation?group and the control group according to random number table method, each group of 50 cases. They were given the symptomatic treatment after diagnosis: fever children were given the fever treatment; cough and expectoration children were given the relieving cough and reducing sputum treatment. The antibiotics were used according to the different situation. The observation?group was given the Reduning injection 0.5-0.8 ml/kg·d, a total of 7 d. The control group was given the Tanreqing injection 0.5-0.8 ml/kg·d, a total of 7 d. The clinical efficacy after 7 d, and working time and recovery time were observed. Results: After 7 d treatment, observation group 27 cases recovered, the healing rate was 54.00% and the total effective rate was 92.00%. Control group 30 cases recovered, the healing rate was 60.00% and the total effective rate was 90.00%. Healin