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目的 探讨小儿病毒性上呼吸道感染的有效治疗方法。方法 选取笔者所在医院2008年8月～2011年9月门诊上呼吸道感染患儿286例,随机分为两组。治疗组143例给予西咪替丁静脉注射联合使用口腔炎喷剂外喷口腔治疗;对照组143例给予利巴韦林静脉注射联合抗病毒口服液口服治疗。两组均不使用抗生素,给予相同的对症处理,鼓励患儿多饮清水、使用解热类药物退热,咳嗽咳痰患儿酌情给予镇咳化痰类药物等。比较两组患儿的治疗效果。结果 两组患儿临床有效性方面差异有统计学意义(P<0.05)。结论 西咪替丁联合口腔炎喷剂治疗小儿病毒性上呼吸道感染,具有疗效确切、方便简单、价格低廉、安全有效的特点,特别适合广大基层医院的应用。
Objective To investigate the effective treatment of pediatric viral upper respiratory tract infection. Methods Select the author’s hospital from August 2008 to September 2011 outpatient upper respiratory tract infection in 286 children were randomly divided into two groups. 143 cases in the treatment group were treated with cimetidine intravenous injection combined with oral spray oral cavity treatment; 143 cases in the control group were given ribavirin intravenous injection combined with anti-viral oral solution oral treatment. Both groups did not use antibiotics, given the same symptomatic treatment, to encourage children to drink plenty of water, the use of antipyretics antipyretic, cough and sputum in children, as appropriate, to give cough and phlegm drugs. Compare the treatment effect of two groups of children. Results There were significant differences in clinical efficacy between the two groups (P <0.05). Conclusion Cimetidine combined with oral inflammation spray treatment of children with viral upper respiratory tract infection, with the exact effect, convenient, cheap, safe and effective, especially for the application of the grassroots hospitals.