Chen L E, Shen Y Z, Jiang D Y, Feng G L, Zhang X L, Wang Y F
Binzhou Medical University Hospital, Binzhou, China
Taian City Central Hospital, Taian, China
J Biol Regul Homeost Agents. 2017;31(3):625-629.
To evaluate clinical effects of amoxicillin and clavulanate potassium in the treatment of children with suppurative tonsillitis, 146 children with suppurative tonsillitis were randomly divided into a ceftezole sodium group and an amoxicillin and clavulanate potassium group. The two groups were given anti-infection treatment using different drugs. Symptomatic treatment was carried out once symptoms such as fever appeared. Five to seven days were taken as one treatment course. Blood routine examination and the detection of C-reactive protein (CRP) were performed three days after treatment. Indexes such as the time to the relief of symptoms, the count of white blood cells, the proportion of neutrophil and CRP levels and the incidence of adverse reactions were compared between groups to evaluate the curative effect. The overall response rate of the amoxicillin and clavulanate potassium group was 94.52%, while that of the ceftezole sodium group was 78.08%; the difference was statistically significant (P<0.05). The improvement of white blood cells and CRP levels of the amoxicillin and clavulanate potassium group was more obvious than that of the ceftezole sodium group (P<0.05). The difference of the time to the improvement of symptoms between the two groups had statistical significance; the amoxicillin and clavulanate potassium group was superior to the ceftezole sodium group (P<0.05). No severe drug-related adverse reactions were observed. Amoxicillin and clavulanate potassium dispersible tablet is effective in treating children with suppurative tonsillitis as it can rapidly relieve the clinical symptoms without increasing incidence of adverse reactions.
为评估阿莫西林克拉维酸钾治疗小儿化脓性扁桃体炎的临床效果,将146例小儿化脓性扁桃体炎患儿随机分为头孢替唑钠组和阿莫西林克拉维酸钾组。两组采用不同药物进行抗感染治疗。出现发热等症状后进行对症治疗。以5至7天为一个疗程。治疗3天后进行血常规检查及C反应蛋白(CRP)检测。比较两组症状缓解时间、白细胞计数、中性粒细胞比例、CRP水平及不良反应发生率等指标以评估疗效。阿莫西林克拉维酸钾组总有效率为94.52%,头孢替唑钠组为78.08%;差异有统计学意义(P<0.05)。阿莫西林克拉维酸钾组白细胞及CRP水平改善较头孢替唑钠组更明显(P<0.05)。两组症状改善时间差异有统计学意义;阿莫西林克拉维酸钾组优于头孢替唑钠组(P<0.05)。未观察到严重的药物相关不良反应。阿莫西林克拉维酸钾分散片治疗小儿化脓性扁桃体炎有效,可迅速缓解临床症状且不增加不良反应发生率。