阿奇霉素配合碘伏局部外用治疗急性化脓性扁桃体炎的疗效观察.pdfVIP

年 月第 卷第 期 2010 8 7 22 ·药物与临床 · 阿奇霉素配合碘伏局部外用 治疗急性化脓性扁桃体炎的疗效观察 都基亮，宋 莉，王 曦，王治强 （山东省烟台市牟平人民医院，山东烟台 264100 ） 摘要 目的：观察与总结阿奇霉素配合局部碘伏外用治疗急性化脓性扁桃体炎的临床疗效。 方法：将 年 月 [ ] 2007 3 ～ 年 月我院就诊的急性化脓性扁桃体炎患者 例随机分为两组，对照组 例，仅用阿奇霉素治疗，治疗组 2010 3 120 60 例在对照组治疗的基础上， 配合碘伏局部外用， 为 个疗程。 结果： 治疗组总有效率为 ， 对照组为 60 5 d 1 91.67% 73.33% ，两组比较，差异有统计学意义（P＜0.05 ），说明治疗组疗效明显优于对照组。 结论：阿奇霉素配合局部碘伏外 用治疗急性化脓性扁桃体炎疗效满意，值得临床进一步推广。 关键词 急性化脓性扁桃体炎；阿奇霉素；碘伏 [ ] [中图分类号] R766.18 [文献标识码] B [文章编号] 1673-7210 （2010 ）08 （a ）-109－02 Clinical observation of topical application of Povidone - iodine and Azithromycin in treatment of acute purulent tonsillitis DU Jiliang, SONG Li, WANG Xi, WANG Zhiqiang Mouping Peoples Hospital of Yantai City, Shandong Province, Yantai 264100, China [Abstract] Objective: To observe and conclude the clinical effect of topical application of Povidone-iodine and Azithromycin in treatment of acute purulent tonsillitis. Methods: 120 cases of acute purulent tonsillitis from March 2007 to March 2010 in our hospital were randomly divided into 2 groups, 60 cases in the control group were treated only with Azithromycin, 60 cases in the treatment group were treated with topical application of Povidone-iodine based on control group, 5 days was a course of treatment. Results: The total effective rate of treatment group was 91.67% and 73.33% of control group, there were significant differences between two groups P ＜0.05 , the treatment group was significantly better than the control group. Conclusion: Topical application of Povidone-iodine and Azithromycin in treatment of acute purulent tonsillitis has ， satisfactory effect it is worthy of further clinical promotion. [Key words] Acute purulent tonsillitis; Azithromycin; Povidone-iodine 急性化脓性扁桃体炎好发于儿童、青少年，是一种常见 差异均无统计学意义（P＞0.05 ）， 具有可比性。 咽部疾病，多在气候变化时发生，如果治疗不及时可在一定 本研究参考 1991 年全国中医耳鼻喉科学会杭州会议标 [1] [2] 范围内引起暴发流行 。 该病具有发病急，症状重的特点，多 准 。① 自觉症状：起病急，咽干灼痛，吞咽痛增，恶寒发热，全 伴有高热、咽喉疼痛、食欲减退等症状，常合并扁桃体周围脓 身不适。