中国中西医结合耳鼻咽喉科杂志
中國中西醫結閤耳鼻嚥喉科雜誌
중국중서의결합이비인후과잡지
Chinese Journal of Otorhinolaryngology In Integrative Medicine
2015年
4期
278-281
,共4页
鼻后滴漏综合征%儿童%综合治疗%疗效
鼻後滴漏綜閤徵%兒童%綜閤治療%療效
비후적루종합정%인동%종합치료%료효
Postnasal drip syndrome%Children%Combined therapy%Therapeutic effect
目的 分析儿童鼻后滴漏综合征的病因、诊断及综合疗法的临床疗效. 方法 回顾性分析符合鼻后滴漏综合征诊断标准儿童233例,均采用糖皮质激素雾化吸入、阿莫西林联合克拉维酸钾、标准桃金娘油、通窍鼻炎片口服治疗. 疗后定期复诊随访1年,分析治疗方法及疾病转归情况,总结诊治经验. 结果 233例患儿中,发生误诊、漏诊者共161例;采用本治疗方案2周治愈128例(54.9%),3周治愈184例(79.0%),4周治愈202例(86.7%),9例(3.9%)显效,5例(2.1%)有效,17例(7.3%)无效;1年后复发10例. 结论 儿童鼻后滴漏综合征易被误诊误治,给予糖皮质激素雾化吸入、阿莫西林克拉维酸钾、标准桃金娘油、通窍鼻炎片治疗,可有效消除继发性咳嗽,临床疗效显著.
目的 分析兒童鼻後滴漏綜閤徵的病因、診斷及綜閤療法的臨床療效. 方法 迴顧性分析符閤鼻後滴漏綜閤徵診斷標準兒童233例,均採用糖皮質激素霧化吸入、阿莫西林聯閤剋拉維痠鉀、標準桃金孃油、通纖鼻炎片口服治療. 療後定期複診隨訪1年,分析治療方法及疾病轉歸情況,總結診治經驗. 結果 233例患兒中,髮生誤診、漏診者共161例;採用本治療方案2週治愈128例(54.9%),3週治愈184例(79.0%),4週治愈202例(86.7%),9例(3.9%)顯效,5例(2.1%)有效,17例(7.3%)無效;1年後複髮10例. 結論 兒童鼻後滴漏綜閤徵易被誤診誤治,給予糖皮質激素霧化吸入、阿莫西林剋拉維痠鉀、標準桃金孃油、通纖鼻炎片治療,可有效消除繼髮性咳嗽,臨床療效顯著.
목적 분석인동비후적루종합정적병인、진단급종합요법적림상료효. 방법 회고성분석부합비후적루종합정진단표준인동233례,균채용당피질격소무화흡입、아막서림연합극랍유산갑、표준도금낭유、통규비염편구복치료. 료후정기복진수방1년,분석치료방법급질병전귀정황,총결진치경험. 결과 233례환인중,발생오진、루진자공161례;채용본치료방안2주치유128례(54.9%),3주치유184례(79.0%),4주치유202례(86.7%),9례(3.9%)현효,5례(2.1%)유효,17례(7.3%)무효;1년후복발10례. 결론 인동비후적루종합정역피오진오치,급여당피질격소무화흡입、아막서림극랍유산갑、표준도금낭유、통규비염편치료,가유효소제계발성해수,림상료효현저.
Objective To investigate the causes and diagnostic strategy for postnasal drip syndrome in children. Methods A retrospective analysis was made among 233 cases of children with postnasal drip syndrome. They were given a combined therapy composed of glucocorticoid inhalation and orally taken amoxicillin clavulanate potassium, standard myrtle oil and Tongqiao rhinitis tablets. A period of following up was carried out among them lasted for one year after the end of therapy. Then, clinical data were carefully analyzed to sum up their response to the therapy and our clinical experience with such a condition. Results In this group of cases, 161 had been misdiagnosed before coming to our Hospital. Following the treatment with our combining therapy, 128 cases (54.9%) were cured within a therapeutic course lasted for 2 weeks, 184 (79.0%) were cured within a course of 3 weeks, 202 (86.7%) cured within 4 weeks, 9(3.9%) markedly improved, 5(2.1%) effective, and only 17 cases (7.3%) ineffective. By the end of following up period, 10 cases were seen recurrenced. Conclusions Postnasal drip syndrome among children is frequently misdiagnosed and un-appropriately treated. Actually, it can be cured by such a combined therapy composed of glucocorticoid inhalation, amoxicillin clavulanate potassium, standard myrtle oil and Tongqiao rhinitis tablets with chronic cough disappeared and clinical therapeutic effect significant.
