热毒宁联合奥司他韦治疗小儿甲型流感的疗效及对hs-CRP、IL-6水平的影响
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鄢陵县人民医院

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Efficacy of Reduning injection combined with oseltamivir in the treatment of influenza A in children and its influence on hs-CRP and IL-6 levels
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    摘要:

    目的:探究热毒宁联合奥司他韦治疗小儿甲型流感的疗效及对高敏C反应蛋白(High-sensitivity c-reactive protein,hs-CRP)与白细胞介素-6(Interleukin-6,IL-6)水平的影响。方法:选取鄢陵县人民医院于2023年2月至2025年2月收治的106例甲型流感患儿为研究对象,以随机数字表法平均分为常规组和联合组。常规组患儿口服奥司他韦(按体重给药:≤15 kg者,30 mg·次-1;>15-23 kg者,45 mg·次-1;>23-40 kg者,60 mg·次-1;>40 kg者,75 mg·次-1),2次·d-1;联合组在接受常规组治疗方案的同时,予以热毒宁注射液(0.5 ml·kg-1,最大剂量≤10 mL)溶于5%葡萄糖注射液中静脉滴注,1次·d-1,均治疗5 d。在治疗5 d后观察两组临床疗效,记录并比较两组发热、咳嗽、咽喉肿痛消失时间,于治疗前、治疗5 d后,使用免疫比浊法检测两组hs-CRP水平与酶联免疫吸附法检测IL-6水平;于治疗期间(5 d)观察不良反应。结果:联合组治疗总有效率较常规组更高(P < 0.05);联合组的发热、咳嗽与咽喉肿痛消失时间低于常规组(P < 0.05);治疗5 d后,两组hs-CRP与IL-6水平较治疗前显著下降(P < 0.05),且联合组水平低于常规组(P < 0.05);联合组不良反应发生率高于常规组,但比较差异无统计学意义(P > 0.05)。结论:热毒宁注射液联合奥司他韦可有效提高小儿甲型流感的临床疗效,加速症状缓解,降低炎症水平,且安全性良好。

    Abstract:

    Objective: To explore the efficacy of Reduning injection combined with oseltamivir in the treatment of influenza A in children and its influence on the levels of high-sensitivity C-reactive protein (hs-CRP) and interleukin-6 (IL-6). Methods: A total of 106 children with influenza A admitted to Yanling County People’s Hospital from February 2023 to February 2025 were selected as research subjects, and were divided into conventional group and combined group by random number table method. Patients in the conventional group were given oral administration of oseltamivir (according to body weight: 30 mg·time-1 for ≤15 kg; 45 mg·time-1 for 15-23 kg; 60 mg·time-1 for 23-40 kg; 75 mg·time-1 for >40 kg) twice a day, and patients in the combined group were treated with Reduning injection (0.5 ml·kg-1, maximum dose≤10 mL) dissolved in 5% glucose injection by intravenous drip once a day for 5 days while receiving the treatment regimen of the conventional group. After 5 days of treatment, the clinical efficacy in the two groups was observed. The disappearance durations of fever, cough and swollen sore throat in the two groups were recorded and compared. Before treatment and after 5 days of treatment, the level of hs-CRP in the two groups was detected by immunoturbidimetry and IL-6 level was measured by enzyme-linked immunosorbent assay. Adverse reactions were observed during treatment (5 days). Results: Combined group demonstrated a higher overall response rate of treatment than conventional group (P<0.05). The disappearance durations of fever, cough and swollen sore throat were shorter in combined group compared to conventional group (P<0.05). After 5 days of treatment, both groups showed significant decreases in hs-CRP and IL-6 levels compared to before treatment (P<0.05), with combined group exhibiting lower levels than conventional group (P<0.05). The incidence rates of adverse reactions in combined group were higher compared with those in conventional group (P>0.05). Conclusion: Reduning injection combined with oseltamivir can effectively enhance the clinical efficacy in children with influenza A, accelerate the symptom relief, and reduce the inflammation level, with good safety.

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  • 收稿日期:2026-01-29
  • 最后修改日期:2026-03-10
  • 录用日期:2026-03-15
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