【摘要】目的：探讨单纯性上呼吸道感染一般治疗与抗生素治疗的效果评价。方法：回顾性分析我院98例单纯性上呼吸道感染患者的临床特点及治疗方法。结果：抗生素治疗组治愈21例(42.9%);显效27例(55.1%);无效1例,(2.0%);总有效率为98.0%;一般性治疗组治愈23例(46.9%)、显效22例(44.9%)、无效4例(8.2%)，总有效率为91.8%。两组疗效比较差异无统计学意义(P<0.05)。结论：单纯性上呼吸道感染很常见，积极对症处理,单纯采用抗病毒治疗可取得好的疗效。
【关键词】 单纯性上呼吸道感染;抗生素;耐药性
Treatment of 98 cases of simple upper respiratory tract infection
QI Dayun
(Wangning People s Hospital in Hainan Province Wanning 571500, China)
View from specialist: It is creative, and of certain scientific and educational value.
[ABSTRACT]Objective: To evaluate effects of antibiotics on simple upper respiratory tract infection. Methods: Clinical features and treatment of 98 cases were retrospectively analyzed. Results: For 49 patients that were treated by antibiotics, the total effective rate was 98.0%, cure rate was 42.9% (21 cases), obvious effects rate was 55.1% (27 cases), only 1 case showed no response. For the left that were treated by conventional treatment, the total effective rate was 91.8%, cure rate was 46.9% (23 cases), obvious effects rate was 44.9% (22 cases), and 4 cases showed no response (8.2%). There was significant difference between the therapeutic effects of these two groups (P<0.05). Conclusion: Antiviral treatment is effective on simple upper respiratory tract infections which is a common disease.
[KEY WORDS]Simple upper respiratory tract infections; Antibiotics; Resistance
单纯性上呼吸道感染约有70%～80%由病毒引起，也可由细菌直接感染或在病毒基础上继发感染，以溶血性链球菌为多见。 它是指鼻腔、 咽或喉部急性炎症的概称,是呼吸道最常见的一种传染病。常见病因为病毒,少数由细菌引起,是最常见的疾病，常伴发热。本文所指单纯性上呼吸道感染是无合并细菌感染的急性上呼吸道感染,包括普通感冒、 病毒性咽炎、 喉炎和支气管炎、 疱疹性咽峡炎以及咽结膜热。目前治疗上感常应用抗菌素,导致抗菌素滥用和耐药菌株增加,而且由于抗菌素的毒副作用也造成了很大的危害。2005年7月～2007年7月,笔者对98例单纯性上呼吸道感染患者在对症治疗的基础上单纯抗病毒治疗和抗生素治疗,比较两种方法的治疗效果,报道如下。
1 资料与方法
1.1 对象
98例单纯性上呼吸道感染患者,年龄 2～62岁,其中男性48例,女性50例。诊断为普通感冒 46例,病毒性咽炎、喉炎和支气管炎32例,疱疹性咽峡炎16例,咽结膜热4例。主要临床表现为发热、头痛、咳嗽、鼻塞、流涕、咽部不适等。
1.2 诊断方法
根据病史、流行情况、鼻咽部的症状和体
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