清脓汤治疗急性化脓性扁桃体炎临床观察

摘要

Objective:To observe the clinical effect of Qingnong Decoction on suppurative tonsillitis.Methods:Forty patients were divided into the treatment group and the control group according to the random number table method.The treatment group was treated with Chinese medicine Qingnong Decoction and the control group was treated with Intravenous cefradine.The course of treatment was 5 days.Results:The total effective rate in the treatment group was 100％,higher than 75.0％ in the control group (P＜ 0.01).The fever time of the treatment group was (1.21 ±0.49) d,the time of disappearance of sore throat (2.42±0.72) d and disappearance of purulent secretions (2.59±0.67) d,respectively,which were shorter than those in the control group (2.67±1.38) d,(4.21± 0.86) d,(3.51 ±1.32) d (all P＜ 0.05).The white blood cell count,C-reactive protein and procalcitonin were significantly improved after treatment(P＜ 0.05).The difference between the groups was not statistically significant (P ＞ 0.05).Conclusion:Qingnong Decoction is effective on acute suppurative tonsillitis.%目的 观察清脓汤治疗化脓性扁桃体炎的临床疗效并探讨其机制.方法 将40例患者按随机数字表法分成治疗组和对照组,各20例,治疗组用中药清脓汤,对照组用头孢拉定静滴.疗程均为5d.结果 治疗组总有效率为100％;高于对照组的75.00％ (P＜ 0.01).治疗组退热时间、咽痛消失时间、脓性分泌物消失时间分别为(1.21±0.49)d、(2.42±0.72)d、(2.59±0.67)d,均短于对照组的(2.67±1.38)d、(4.21±0.86)d、(3.51±1.32)d(均P＜ 0.01);两组治疗后白细胞计数、C反应蛋白、降钙素原等指标均较治疗前显著改善(P＜0.05),组间差异无统计学意义(P＞0.05).结论 清脓汤治疗急性化脓性扁桃体炎疗效满意.