This is a multicenter, open,randomized controlled trial aiming to evaluate the effectiveness of recombinant human interferon α-2b spray compared with ribavirin treatment on pediatric patients with herpangina.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
668
Recombinant human interferon α-2b spray (trade name Jeferon, specifications: 1 million U/support, 10mL/support or 2 million U/support, 20mL/support, 2-8 ℃ dark storage and transportation), 1 million U/day, used for 3 days, observed to the 4th day (until the 96th hour).
Ribavirin Spray, spray once every 4-5 hours, 1-2 times a spray, used for 3 days, observed to the 4th day(until the 96th hour ).
Children's Hospital of Fudan University
Shanghai, China
The defervesce rate during treatment by 72 hours
Body temperature returned to normal,and remain at least 24 hours.
Time frame: Measure the body temperature every 4 hours from starting of treatment to the 96th hour.
Abnormal blood routine
White blood cell count, absolute neutrophil count, absolute lymphocyte count, platelet count, hemoglobin, the five indicators if one is abnormal, abnormal blood routine is defined as "1", if five indicators all are normal, abnormal blood routine is defined as "0".
Time frame: Before admission and 72th hours after treatment.
The significant efficiency rate
Within 48 hours treatment temperature returned to normal, oropharyngeal herpes and ulcers significantly improved and no new appeared, appetite significantly improved.
Time frame: From starting of treatment to the 48th hour.
The effective rate
Within 72 hours treatment temperature returned to normal, oropharyngeal herpes and ulcers improved and no new appeared, appetite improved.
Time frame: From starting of treatment to the 72th hour.
The ineffective rate
After medication 72 hours still fever, oropharyngeal herpes and ulcer without reducing or even increase, eating difficulty.
Time frame: From starting of treatment to the 96th hour.
The total effective rate
Total effective rate = efficiency rate + effective rate.
Time frame: From starting of treatment to the 96th hour.
Total hospital stay
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Time frame: From starting of treatment to the 96th hour.
Appetite improvement
Time frame: From starting of treatment to the 96th hour.
Myocardial enzymes and electrocardiogram
Before admission myocardial enzymes and electrocardiogram were checked, then rechecked after 72 hours treatment if abnormal.
Time frame: Before admission and 72th hours after treatment.
The condition of herpes and ulcers subside
Clinical examination to check herpes subsided, ulcer wounds smaller, with or
Time frame: Check the oral herpes or ulcers subsided every 24 hours from starting of treatment to the 72th hour.