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Clinical effect of Cefaclor and Bromhexine Hydrochloride for Suspension in the treatment of acute suppurative tonsillitis in children |
XU Minghao LIU Honglin |
Department of Emergency, Kunming Children′s Hospital, Yunnan Province, Kunming 467000, China |
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Abstract Objective To observe the clinical efficacy of Cefaclor and Bromhexine Hydrochloride for Suspension in the treatment of acute suppurative tonsillitis in children. Methods One hundred and twenty children with acute suppurative tonsillitis in Kunming Children′s Hospital from June 2017 to June 2018 were randomly divided into the observation group (60 cases) and the control group (60 cases) by random number table method, which were treated with Cefaclor and Bromhexine Hydrochloride for Suspension, Amoxicillin and Clavulanate Potassium Suspension, respectively. Both group continued treatment for 7 days. The clinical efficacy, disappearance time of symptoms and signs, the chamge of tonsil enlargement and white blood cell count, neutrophil and C-reactive protein levels before and after treatment were compared between the two groups. Results The total effective rate of treatment in the observation group was significantly higher than that in the control group, and the difference was statistically significant (P < 0.05). The time of body temperature returning to normal, the disappearance of tonsil purulent secretion and the pharyngeal congestion of the observation group were significantly shorter than those of the control group, and the differences were statistically significant (P < 0.05). After treatment, the tonsil enlargement of the observation group was significantly better than that of the control group, while serum white blood cell count, neutrophil and C-reactive protein levels in the observation were significantly lower than those in the control group, and the differences were statistically significant (P < 0.05). There were no significant differences in the incidence of adverse reactions between the two groups (P > 0.05). Conclusion The treatment of acute suppurative tonsillitis inflammation in children with Cefaclor and Bromhexine Hydrochloride for Suspension is faster and better than Amoxicillin and Clavulanate Potassium Suspension.
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[1] 龙勋华,吉训超.儿童急性化脓性扁桃体炎临床分布特点与季节关系分析[J].公共卫生与预防医学,2017,28(5):69-72.
[2] 高翠敏.小儿热速清颗粒联合抗生素治疗小儿急性化脓性扁桃体炎的临床观察[J].世界中医药,2017,12(4):106-108.
[3] 朱秀云,陈秀敏.安灭菌治疗小儿急性化脓性扁桃体炎的临床疗效观察[J].中国病案,2018,19(5):94-96.
[4] 欧阳学认,刘华,许华.喜炎平注射液治疗小儿急性化脓性扁桃体炎的临床研究[J].广州中医药大学学报,2017, 34(4):492-495.
[5] 高桂君,金静,刘娜,等.金勃消蛾饮配合穴位疗法治疗小儿急性扁桃体炎的临床研究[J].中国中医急症,2016, 25(11):2150-2153.
[6] 赵汉庆.小儿定喘口服液联合阿莫西林克拉维酸钾治疗小儿化脓性扁桃体炎的疗效观察[J].实用临床医药杂志,2017,21(7):160-161.
[7] 徐娟,徐祖龙,张亚明,等.热毒宁注射液佐治儿童急性化脓性扁桃体炎的疗效[J].江苏医药,2017,43(23):1747-1748.
[8] 刘大波,谷庆隆.儿童急性扁桃体炎诊疗——临床实践指南(2016年制定)[J].中国实用儿科杂志,2017,32(3):161-164.
[9] Hill C A,Dang S,Beach M,et al. A Retrospective Cohort Study of Glossopharyngeal Nerve Taste in Children with Recurrent Acute Tonsillitis [J]. Otolaryngol Head Neck Surg,2017,156(1):189-193.
[10] 林全纲.西瓜霜喷剂联合克林霉素治疗急性化脓性扁桃体炎临床观察[J].陕西中医,2017,38(7):897-898.
[11] 黄洁,董红军,徐浩,等.飞仙散吹喉联合抗生素治疗急性化脓性扁桃体炎的疗效及对外周血T淋巴细胞亚群的影响[J].陕西中医,2017,38(10):1394-1395.
[12] 邵剑萍.克洛己新联合泪道探通术治疗婴幼儿泪囊炎[J].中国医药导刊,2013,15(8):154-156.
[13] 蔡育红,钟慧敏.复方头孢克洛片分剂量的稳定性试验[J].广东药学院学报,2013,29(3):237-239.
[14] 高燕敏,常青.克洛己新干混悬剂治疗急性上呼吸道感染患儿的临床疗效及对血清炎症因子的影响[J].中国妇幼保健,2018,33(21):120-123.
[15] 黄培练,潘艳东.疏风解毒胶囊联合头孢克洛干混悬剂治疗小儿扁桃体炎(风热证)临床观察[J].中国中医急症,2016,25(10):1984-1986.
[16] 彭慧敏,陈建梅,马帅.三种治疗方案用于儿童急性上呼吸道感染治疗的药物经济学分析[J].世界临床药物,2018,39(10):49-52.
[17] 舒红文,余霞辉,邱有波,等.阿莫西林/克拉维酸钾与头孢替唑钠治疗小儿急性化脓性扁桃体炎对比研究[J].儿科药学杂志,2015,21(9):25-28.
[18] 乔勇,余霞辉,邓骥,等.阿莫西林克拉维酸钾联合糜蛋白酶治疗儿童急性化脓性扁桃体炎疗效观察[J].实用医院临床杂志,2015,12(3):97-99.
[19] 张顺辰,张红新.小儿热速清口服液联合注射用阿莫西林钠克拉维酸钾治疗急性化脓性扁桃体炎的临床观察[J].中国药房,2015,26(27):3777-3779.
[20] 张特,罗小春,王斌,等.阿莫西林克拉维酸钾干混悬剂联合异丙托溴铵雾化吸入治疗支气管哮喘患者合并肺部感染的疗效[J].中华医院感染学杂志,2018,28(11):62-65.
[21] 朱友林,邰顺章.高效液相色谱法同时测定克洛己新干混悬剂中头孢克洛和盐酸溴己新的含量[J].中国医药导报,2012,9(3):114-116. |
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