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阿莫西林在耳鼻咽喉科领域的临床研究(作者译)

[Clinical study on amoxicillin in otorhinolaryngological field (author's transl)].

作者信息

Hommura Y, Sakamoto Y, Matsukawa J, Shinkawa A

出版信息

Jpn J Antibiot. 1975 Jun;28(3):353-62.

PMID:1152288
Abstract

Clinical effect of amoxicillin was evaluated in 29 cases of the acute infections of ear, nose and throat: 8 cases of acute purulent otitis media, one case of acute otitis externa, one case of furuncle of the ear, 2 cases of acute sinusitis, 12 cases of acute lacunar tonsillitis, 2 cases of pharyngolaryngitis, one case of acute cervical lymphadenitis, one case of phlegmon of the face and one case of acute gingivitis. The following results were obtained from the clinical and laboratory studies. 1) The therapeutic results were excellent in 18 cases, good in 5 cases, fair in 3 cases and poor in 3 cases. The effect was observed in 79.3% of the patients treated. 2) The causative bacteria were: 3 strains of beta-Streptococcus hemolyticus, 4 strains of Hemophilus, 4 strains of Staphylococcus aureus, one strain of Diplococcus pneumoniae, one strain of Gram-positive Diplococcus and Gram-negative Bacillus. Clinically good results were obtained in patients infected with beta-Streptococcus hemolyticus, Hemophilus and Diplococcus pneumoniae. 3) No side effect was observed with amoxicillin, except slight diarrhea in one case. This side effect disappeared by cessation of the administration. 4) No unfavourable influence was noticed on peripheral blood, liver function nor renal function by administration of amoxicillin. 5) From the results of this series, amoxicillin seems to be useful in the treatment of acute infections of the ear, nose and throat.

摘要

对29例耳鼻咽喉急性感染患者评估了阿莫西林的临床疗效:其中急性化脓性中耳炎8例、急性外耳道炎1例、耳部疖肿1例、急性鼻窦炎2例、急性陷窝性扁桃体炎12例、咽喉部炎症2例、急性颈淋巴结炎1例、面部蜂窝织炎1例、急性牙龈炎1例。临床和实验室研究得出以下结果。1)治疗结果为优18例、良5例、中3例、差3例。接受治疗的患者中79.3%有疗效。2)致病菌为:溶血性β链球菌3株、嗜血杆菌4株、金黄色葡萄球菌4株、肺炎双球菌1株、革兰阳性双球菌和革兰阴性杆菌各1株。感染溶血性β链球菌、嗜血杆菌和肺炎双球菌的患者临床疗效良好。3)除1例出现轻度腹泻外,未观察到阿莫西林有副作用。停药后该副作用消失。4)服用阿莫西林未发现对外周血、肝功能及肾功能有不良影响。5)从本系列结果来看,阿莫西林似乎对治疗耳鼻咽喉急性感染有效。

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