3区 · 医学
ArticleOA
作者: Deng, Ji-Kui ; Luo, Ru-Ping ; Chen, Bi-Quan ; Hao, Jian-Hua ; Yu, Hui ; Ye, Ying-Zi ; Lei, Min ; Gan, Lu ; Long, Yuan-Yuan ; Chen, Yan ; Lin, Ai-Wei ; Liao, Yi-Nan ; Nong, Guang-Min ; Wang, Shao-Ning ; Yan, Wei-Li ; Dou, Ya-Lan ; Zhou, Li ; Yang, Zhi
OBJECTIVESThe treatment of acute herpangina is inconsistent. We aim to evaluate the effectiveness and safety of interferon α-2b spray versus Ribavirin for this disease.METHODSA randomized, controlled trial was conducted in eight hospitals in China between 2016 and 2018. 668 patients (1-7 years old) were randomized into an experimental group (treated with Interferon α-2b spray) or control group (received Ribavirin Aerosol). Body temperature returning to normal within 72 h and remaining so for 24 h was the primary outcome; release of oral herpes and adverse events were the secondary outcomes.RESULTS(1) The average age of onset was 2.5 years old. (2) After 72 h treatment, body temperature of 98.5% patients in experimental group and 94.3% in control group returned to normal and remained so for 24 h (P = 0.004). The differences were greater at 48 h treatment (95.2% vs. 85.9%, P < 0.001) and at 24 h (77.5% vs. 66.5%, P = 0.001). (3) The rate of improved oral herpes in the experimental group was higher than that in control group (46.7% vs.37.1%, P = 0.011). No adverse reaction occurred.CONCLUSIONSLocal application of recombinant interferon α-2b spray showed better efficacy for acute herpangina in children. It was safe for use.