急性上呼吸道感染后咳嗽的治疗分析.docVIP

精品论文 参考文献 急性上呼吸道感染后咳嗽的治疗分析 杨敏丽 （成都市第五人民医院 四川成都611130） 【摘要】目的：分析急性上呼吸道感染后咳嗽的合理治疗。 方法：将172例急性上呼吸道感染后反复咳嗽的患者，经静滴抗生素治疗5天后，未见缓解者行支气管激发试验，90例气道反应增高的患者随机分为2组，A组44例采用口服氯雷他定片、茶碱缓释片及复方磷酸可待因溶液治疗；B组46例采用口服氯雷他定片、茶碱缓释片及复方磷酸可待因溶液联合倍氯米松吸入剂吸入治疗，疗程7天，观察2组患者的咳嗽及胸闷、气紧和气道反应性分级情况。 结果：常规抗感染治疗未见好转者，93.8%患者气道反应性增高；A、B2组治疗后咳嗽及胸闷、气紧和气道反应性降低，均为Plt;0.05,但A组与B组同期治疗相比，差异无统计学意义（Pgt;0.05）。 结论：对于急性上呼吸道感染后气道反应性增高的患者，抗生素治疗无效者，用氯雷他定、茶碱缓释片及复方磷酸可待因溶液治疗可有效缓解咳嗽及胸闷、气紧等症状。 【关键词】急性上呼吸道感染；咳嗽；气道反应性 【Abstract 】 Objective ：To analyze the acute upper respiratory tract infection and reasonable treatment of cough. Methods ：172 cases of acute upper respiratory tract infection in patients with recurrent cough, after intravenous antibiotic treatment for 5 days, no remission bronchial provocation test, 90 patients with increased airway responsiveness were randomly divided into 2 groups, A group of 44 patients use of oral loratadine tablets, theophylline and compound codeine phosphate solution treatment; B group with oral loratadine tablets, theophylline and codeine phosphate compound joint beclomethasone inhalation solution inhalation, 7 days treatment, observed two groups of patients with cough and chest tightness, gas tight classification of airway responsiveness. Results：of conventional anti-infective therapy did not improve those, 93.8% of patients had increased airway responsiveness; A, B2 group after treatment, cough and chest tightness, air tight to reduce airway reactivity, both P lt;0.05, but over the same period in group A and group B treatment, the difference was not statistically significant (Pgt; 0.05). Conclusion：For acute upper respiratory tract infection increased airway responsiveness in patients with antibiotic treatment ineffective, with loratadine, theophylline and compound codeine phosphate solution treatment can relieve cough and chest tightness, symptoms such as gas-tight . 【Key words】acute upper respiratory tract infections; cough; airway responsiveness 【中图分类号】R56【文献标识码】A【文章编号】1007-8231（2011