生理盐水、西米替丁、蒙脱石散口腔护理加补充维生素A.docVIP

精品论文 参考文献 生理盐水、西米替丁、蒙脱石散口腔护理加补充维生素A 王科武 宋贵强（荆州市妇幼保健院lt;荆州市儿童医院gt; 湖北荆州 434020） 【摘要】目的 评价生理盐水、西米替丁、蒙脱石散口腔护理加补充维生素A治疗小儿疱疹性口腔炎的临床疗效。方法　选取2011-2013年在荆州市儿童医院就诊符合条件患儿病例90例，随机分为两组各45例，试验组采用生理盐水、西米替丁、蒙脱石散口腔护理加补充维生素A辅佐治疗，对照组采用碘甘油涂抹口腔等常规治疗，疗程7天后，观察两组疗效并进行分析。结果　在治疗3天或7天后，试验组有效率分别为77.77%、95.55%，对照组有效率分别为62.22%、82.22%，试验组总有效率高于对照组，差异具有统计学意义（Plt;0.05）。结论　生理盐水、西米替丁、蒙脱石散口控护理加补充维生素A辅佐治疗小儿疱疹性口腔炎具有良好的疗效，值得推广使用。 【关键词】生理盐水 西米替丁 蒙脱石散 维生素A 小儿 疱疹性口腔炎 【中图分类号】R720.5 【文献标识码】A 【文章编号】2095-1752（2013）29-0051-02 【Abstract】Objective. The writer wants to evaluate the clinical efficiency of treating children with Herpetic Stomatitis by combined treatment of Physiological saline, Cimetidine, Montmorillonite Powder and Vitamin A supplement. Method. The writer picked 90 eligible patients from Jingzhou Childrenrsquo;s Hospital spanned the year of 2011 to 2013, and randomly divided them into 2 groups, each had 45 patients. The experimental group adopted the combined treatment of physiological saline, Cimetidine, Montmorillonite Powder and Vitamin A supplement, the control group adopted regular treatment, which using iodine glycerin onto patientsrsquo; mouth cavity. After a seven-day treatment, the writer observed and analyzed the effects of the two groups. Results. After the 3 days of the treatment and the 7 days of the treatment, the effective rate of the experimental group is77.77% and95.55%, while the number of the control group is62.22% and82.22%, the general effective rate of the experimental group is higher than the control group, the difference has the statistic meaning (Plt;0.05). Conclusion: The combined treatment of Physiological Saline, Cimetidine, Montmorillonite Powder and Vitamin A has very good effect on Pediatric Herpetic Stomatitis, and the treatment is worth recommending in the clinical usage. 疱疹性口腔炎好发于夏秋季，起病急，临床表现为高热、咽痛、流涎、厌食、呕吐等，体检时可发现口腔、舌面、咽腭弓、软腭、悬臃垂粘膜上可见数个2-4mm大小不等的灰白色疱疹，周围有红晕，1-2日破溃后形成小溃疡，该病是一种常见的口腔疾病，发病率较高，临床有