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目的 分析糖皮质激素在小儿急性喉炎中的治疗价值。方法 回顾分析了山西医科大学第一临床医学院耳鼻喉科收治的１９３ 例小儿急性喉炎，其中２５ 例单纯用抗生素治疗，另１６８ 例加用糖皮质激素治疗。结果 １９３ 例患儿全部痊愈出院，但单纯用抗生素治疗组，出现Ⅲ度以上喉阻塞需行气管切开者占２０ ％ ；而加用糖皮质激素组，需行气管切开者占４ ．８ ％ ，两组差异显著。结论 糖皮质激素可以减轻小儿急性喉炎时的喉阻塞程度，降低气管切开率。
Objective To analyze the therapeutic value of glucocorticoid in acute laryngitis in children. Methods A retrospective analysis of 193 cases of pediatric acute laryngitis admitted to the otolaryngology department of the First Clinical Medical College of Shanxi Medical University was made, of which 25 cases were treated with antibiotics alone and 168 cases were treated with glucocorticoid. Results All the 193 cases were cured. However, only 20% of tracheostomy patients with grade Ⅲ laryngeal obstruction had been treated with antibiotics alone. Tracheotomy patients with glucocorticoid group accounted for 4%. 8%, significant difference between the two groups. Conclusion Glucocorticoids can reduce the degree of laryngeal obstruction and reduce the rate of tracheotomy in children with acute laryngitis.