本文選題：化膿性扁桃腺炎 + 合理使用抗生素��； 參考：《現(xiàn)代醫(yī)院》2016年01期

【摘要】：目的減少化膿性扁桃腺炎治療中抗生素的不合理使用。方法回顧性分析醫(yī)院兒科門診診治的化膿性扁桃腺炎病例1 107例。根據(jù)抗生素使用療程分為足療程組及不足療程組;根據(jù)抗生素使用種類分為阿奇霉素組與非阿奇霉素組。比較足療程組與非足療程組、阿奇霉素組與非阿奇霉素組,發(fā)病后3個(gè)內(nèi)復(fù)發(fā)及并發(fā)癥發(fā)生情況。根據(jù)其籍貫及國籍分為中國大陸組、港澳臺組及外籍組,比較三組抗生素使用不足療程例數(shù),分析療程不足的原因。結(jié)果足療程組復(fù)發(fā)率較不足療程組明顯減少(P0.05),非阿奇霉素組復(fù)發(fā)率較阿奇霉素組明顯增多(P0.05)。中國大陸組的不足療程發(fā)生率比港澳臺組及外籍組明顯增多(P0.05)。不足療程主要原因?yàn)榛颊咭缽男圆蛔?與部分醫(yī)生對該病的療程認(rèn)識問題也有一定關(guān)系。結(jié)論使用抗生素治療化膿性扁桃腺炎時(shí)應(yīng)堅(jiān)持足療程治療,同時(shí)加強(qiáng)對我國大陸民眾宣傳合理使用抗生素的知識。
[Abstract]:Objective to reduce the irrational use of antibiotics in the treatment of suppurative tonsillitis. Methods 1 107 cases of suppurative tonsillitis were analyzed retrospectively. According to the course of antibiotic use, it was divided into two groups: foot treatment group and insufficient course group, azithromycin group and non azithromycin group according to the kinds of antibiotics used. The recurrence and complications were compared between foot treatment group and non-foot treatment group, azithromycin group and non-azithromycin group. According to their nationality and nationality, they were divided into three groups: mainland China group, Hong Kong, Macao and Taiwan group and foreign group. Results the recurrence rate of foot treatment group was significantly lower than that of insufficient treatment group, while that of non-azithromycin group was significantly higher than that of azithromycin group. The incidence of insufficient treatment in mainland China group was significantly higher than that in Hong Kong, Macao and Taiwan group and foreign group (P 0.05). The main cause of insufficient course of treatment is insufficient compliance of patients, which is related to some doctors' understanding of the course of treatment. Conclusion when using antibiotics to treat suppurative tonsillitis, we should insist on the treatment of foot course and strengthen the knowledge of rational use of antibiotics to the people in mainland China.
【作者單位】： 廣州中醫(yī)藥大學(xué)祈福醫(yī)院;
【基金】：廣州市番禺區(qū)科研攻關(guān)項(xiàng)目(編號:2014-Z03-44)
【分類號】：R766.18

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