资源描述:
《阿奇霉素联合头孢他啶治疗社区获得性肺炎临床观察》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、阿奇霉素联合头电他噪治疗社区获得性肺炎临床观察【摘要】目的:探讨阿奇霉素联合头抱他唳治疗社区获得性炎的临床疗效和安全性。方法:将80例患者随机分成两组观察组和对照组各40例,观察组应用阿奇霉素联合头抱他噪治疗,对照组应用红霉素联合头鞄他味,观察并比较两组治疗前后症状情况和并发症。疗效评价依据症状、体征、实验室检查恢复以及致病菌的清除;不良反应根据治疗前后肝、肾功能改变及恶心、呕吐等消化道反应。结果:观察组治疗有效率、细菌清除率分别为95.00%,93.75%,高于对照组的75.00%、70.00%,差异存在统计学意义(P0.05)o结论:
2、阿奇霉素联合头翘他喘治疗社区获得性肺炎临床疗效好,安全性性,值得临床推广应用。口【关键词】阿奇霉素;头翘他口定;红霉素;社区获得性肺炎口doi:10.3969/j.issn.1006-1959.2010.08.006文章编号:1006-1959(2010)-08-1981-02QTheobservationonclinicaleffectofazithromycinandceftazidimetreatingcommunityacquiredpneumoniaFANYi-ShiDepartmentofRespiratoryMedicine
3、,TheFourthPeople'sHospitalOfZiyangcity,SiChuan,641300D[Abstract]Objective:Toexploretheclinicaleffectandsafetyofazithromycinandceftazidimetreatingcommunityacquiredpneumonia.Methods:80patientswithcommunityacquiredpneumoniawererandomlydividedintotheinterventiongroup(40cases)
4、andcontrolgroup(40cases).Theinterventiongroupweretreatedwithazithromycinandceftazidime,thecontrolgroupweretreatedwitherythromycinandceftazidime;Symptomsanddrugsensitivenessoftwogroupswereobservedrespectivelybeforeandaftertreatment.Theefficacieswereevaluatedaccordingthethe
5、rapeuticindices,!ncludingsymptom,signjecoveryoflaboratoryexaminationandclearaneerateofpathogenicbacteria,andtheadversereactionindices,includingtheshiftofliver,renalfunctionspre/posttreatment,theoccurreneeofalimentarytractreactionssuchasnausea,vomiting.Results:Theeffective
6、rate、bacterialclearingrateintheinterventiongroupwere95.00%、93.75%respectively,werehigh75.00%、70.00%inthecontrolgroup,itwassignificantly(P0.05).Conclusion:Theazithromycinandceftazidimetreatingcommunityacquiredpneumoniaismoreeffectiveandsafely,andhenceisworthyofbeingrecomme
7、ndedinclinicalpractice.□[Keywords]Azithromycin;Ceftazidime;Erythromycin;Communityacquiredpneumonia社区获得性肺炎(communityacquiredpneumonia,CAP)是指在医院外罹患的感染性肺实质(含肺泡壁即广义上的肺间质)炎症,包括具有明确潜伏期的病原体感染而入院后平均潜伏期内发病的肺炎口口口]口。目前,随着社会人口老龄化的加速,以及免疫损害宿主的增加、病原体的变迁和致病菌耐药率的上升,社区获得性肺炎的治疗便成为临床医生关注的问题
8、之一。2008年2月~2010年2月期间,我们采用阿奇霉素联合头抱他H定治疗社区获得性肺炎,取得了满意的临床效果,现报道如下。口资料与方法口1.1一般资料:80例患者均符合社区获得性肺炎诊断标