阿莫西林克拉维酸钾治疗小儿急性化脓性扁桃体炎的临床效果.docVIP

阿莫西林克拉维酸钾治疗小儿急性化脓性扁桃体炎的临床效果 　　【摘 要】目的：探讨阿莫西林克拉维酸钾治疗小儿急性化脓性扁桃体炎的效果。方法：调取我科室诊治的60例急性化脓性扁桃体炎患儿，分成对照组、观察组；两组分别静滴头孢他啶、阿莫西林克拉维酸钾，观察2组临床治疗效果、各项治疗指标、不良反应状况。结果：对照组、观察组治疗有效率分别为93.33%、100%，观察组治疗有效率较高（p0.05）。结论：在小儿急性化脓性扁桃体炎诊治中，采取阿莫西林克拉维酸钾诊治，可显著改进临床治疗效果，加快各项炎症消退速度，安全性也有高度保障，因此，可以大力实践与推广。 　　【关键词】头孢他啶；阿莫西林克拉维酸钾；小儿急性化脓性扁桃体炎；临床效果 　　Abstract Objective： To explore the effect of amoxicillin clavicate in the treatment of acute suppurative tonsillitis in children. Methods： 60 cases of acute suppurative tonsillitis were treated in our department， divided into control group and observation group. The two groups were respectively the cephalosporin and amoxicillin clavicate， and the results of the two groups were observed， the indexes of various treatments and the adverse reactions were observed. Results： the effective rate of treatment was 93.33% and 100% respectively in the control group and the observation group， and the treatment efficiency was higher in the observation group （p 0.05）. The length of hospital stay， the length of the abscess and the duration of the fever were shorter （p 0.05）. There was no statistically significant difference between the two groups （p 0.05）. Conclusion： in the diagnosis and treatment of pediatric acute suppurative tonsillitis， adopt amoxicillin clavulanic acid potassium， can significantly improve the clinical effect， to speed up the inflammation subsidise， security also has high security， therefore， can be a strong practice and popularization. 　　Key words：Ceftazidine； Amoxicillin clavicate； Acute suppurative tonsillitis of children； Clinical effect 　　【中?D分类号】R978.1 【文献标识码】A 【文章编号】1672-3783（2018）06-03--01 　　引言 　　在儿科医学临床中，急性化脓性扁桃体炎发病率较为普遍，给患儿及家庭带来较大痛苦。急性化脓性扁桃体炎主要以发热、咽痛、吞咽困难、扁桃体红肿、脓性分泌物、流口水、耳痛等为临床特征[1]。若在早期得以及时发现并进行有效治疗，患儿身心健康均会得到有效保障，反之，在一定程度上会诱发患儿淋巴结炎以及中耳炎、心肌炎、肾小球肾炎、甚至会引发全身炎症反应综合征，最终威胁患儿的生命健康安全。据相关学者研究，最常见的病菌是?-溶血性链球菌、其它还包括G组链球菌、肺炎链球菌、厌氧菌等为急性化脓性扁桃体炎的主要致病因素。近年来在医疗环境中随着抗生素的频繁滥用，病原菌的耐药菌群不断增加以及病原菌发生变异等导致常规药物治疗效果不佳。为进一步探究阿莫西林克拉维酸钾对小儿急性化脓性扁桃体炎的临床治疗效果，本