目的 观察聚维酮碘局部涂刮治疗小儿急性化脓性扁桃体炎的临床疗效.方法 选取2016年1月至2017年6月急性化脓性扁桃体炎的住院患儿80例,随机分成两组.两组均在阿莫西林克拉维酸钾抗感染的治疗基础上进行,对照组予以餐前漱口和棉签擦拭法口腔护理,观察组予以聚维酮碘局部涂刮.对比在治疗干预后两组临床症状与体征消失或消退时间.结果 观察组(40例)中扁桃体脓点消除时间、扁桃体红肿消退时间、咽部疼痛消失时间、体温恢复正常时间与对照组(38例,脱失2例)比较,观察组临床症状及体征消失或消退时间均比对照组快,差异有统计学意义(P<0.05).结论 聚维酮碘局部涂刮能够刮除脓点内的脓液及周围粘性分泌物,消除炎性反应,明显缩短了临床症状和体征的消退时间,缩短了病程时间.%Objective To observe the clinical effect of povidone iodine topical scraping on treating pediatric acute suppurative tonsillitis. Methods A total of 80 hospitalized children with acute suppurative tonsillitis from January 2016 to June 2017 were selected and randomly divided into two groups. Both groups were treated with amoxicillin and clavulanate potassium anti-infective treatment. The control group was given oral care with premeal mouth-rinsing and cotton bud wiped,and the observation group was treated with povidone-iodine topical scraping. After treatment,the disappeared time of clinical symptoms and signs were compared between the two groups. Results The results of treatment showed that in the observation group (40 cases),the eliminated time of tonsil pus,the resolving time of red and swelling of tonsils,the disappeared time of pharyngeal pain, the recovery time of body temperature were significantly lower than those in the control group (38 cases,2 cases dropped out). And the disappeared time of clinical symptoms and signs in the observation group were shorter than those in the control group,and the difference was statistically significant (P<0.05). Conclusion Povidone-iodine topical scraping can scrape the pus within the pus point and surrounding viscous secretions,eliminate the inflammatory response,significantly shorten the resolving time of clinical symptoms and signs,and shorten the course of the disease.
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