论文部分内容阅读
目的:分析多西环素、氯霉素、阿奇霉素治疗恙虫病的临床疗效。方法:抽取本院2015年1月至2015年9月收治的90例恙虫病患者,随机分为3组,各30例,A组患者接受多西环素治疗,B组患者接受氯霉素治疗,C组患者接受阿奇霉素治疗,对比3组患者治疗效果。结果:3组患者治愈率均为100%,A组、B组患者退热时间明显短于C组(P<0.05);3组患者咳嗽、淋巴结肿大及焦痂溃疡消失时间比较,差异无统计学意义(P>0.05);C组患者不良反应发生率3.3%明显低于A、B两组16.7%、20%(P<0.05)。结论:多西环素、氯霉素、阿奇霉素治疗恙虫病取得显著效果,但阿奇霉素副作用较低。
Objective: To analyze the clinical efficacy of doxycycline, chloramphenicol and azithromycin in the treatment of scrub typhus. Methods: Ninety tsutsugamushi patients admitted from January 2015 to September 2015 in our hospital were randomly divided into 3 groups (n = 30). Patients in group A received doxycycline treatment and patients in group B received chloramphenicol treatment , C group received azithromycin treatment, the treatment effect of 3 groups of patients. Results: The cure rates of three groups were all 100%. The fever time in group A and group B was significantly shorter than that in group C (P <0.05). The cough, lymph nodes and the disappearance time of eschar were the same in three groups The incidence of adverse reactions in group C was significantly lower than that in groups A and B (3.3% vs 16.7%, 20%, P <0.05). Conclusion: Doxycycline, chloramphenicol and azithromycin have a significant effect in the treatment of scrub typhus, but the side effects of azithromycin are low.