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目的探索社区学龄前儿童非特异性咳嗽在社区的有效治疗方案并进行效果评价。方法将2008年9月-2010年8月在深圳蛇口地区社区健康服务中心就诊的有非特异性咳嗽的201名学龄前儿童随机分为两组,药物治疗组采用利巴韦林注射液、注射用氨溴索针剂雾化及氯雷他定分散片口服,而综合治疗组则在常规对症治疗的基础上增加心理治疗、消毒隔离以及加强护理,并进行两组疗效观察。结果治疗后两组的症状改善差异具有统计学意义(P<0.05),综合治疗组总有效率90.8%,药物治疗组总有效率75.7%。两组药物不良反应发生率差异无统计学意义(P>0.05)。结论社区学龄前儿童非特异性咳嗽的治疗,除单纯药物治疗外,各种辅助治疗也非常关键,有显著意义,适合全科医生在社区干预学龄前儿童非特异性咳嗽使用。
Objective To explore the community-based effective treatment of non-specific cough in preschool children and to evaluate the effect. Methods A total of 201 pre-school children with nonspecific cough from September 2008 to August 2010 in Shekou Community Health Service Center of Shenzhen were randomly divided into two groups. The drug treatment group received ribavirin injection and injection Ambroxol injection atomization and loratadine dispersible tablets orally, while the comprehensive treatment group is in the conventional symptomatic treatment based on the increase of psychological treatment, disinfection and isolation and strengthening care, and the efficacy of two groups were observed. Results After treatment, the differences between the two groups were statistically significant (P <0.05). The total effective rate was 90.8% in the comprehensive treatment group and 75.7% in the drug treatment group. There was no significant difference in the incidence of adverse drug reactions between the two groups (P> 0.05). Conclusion The treatment of nonspecific cough in preschool children in the community is also very significant and significant for the treatment of nonspecific cough in preschool children in the community except the simple drug treatment.