首页|氨溴索联合左氧氟沙星治疗慢阻肺并发肺部感染的临床疗效及对患者肺功能的影响

氨溴索联合左氧氟沙星治疗慢阻肺并发肺部感染的临床疗效及对患者肺功能的影响

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目的 分析慢性阻塞性肺疾病(COPD)并发肺部感染患者采用氨溴索联合左氧氟沙星治疗的效果.方法 选择2018 年9月—2023 年 8 月济南市第三人民院收治的 80 例COPD并发肺部感染患者为研究对象,采用随机数字表法将其分为对照组及观察组,每组 40 例.对照组采用盐酸左氧氟沙星注射液治疗,观察组在对照组基础上采用盐酸氨溴索注射液治疗.对比两组患者的临床疗效、肺功能、炎症因子水平及不良反应发生情况.结果 观察组的治疗总有效率为95.00%,高于对照组的 80.00%,差异有统计学意义(P<0.05).治疗后,观察组的用力肺活量、第 1 秒用力呼气容积均大于对照组,组间差异有统计学意义(P<0.05).治疗后,观察组的C反应蛋白、降钙素原、白细胞水平均低于对照组,组间差异有统计学意义(P<0.05).两组的不良反应发生率比较,差异无统计学意义(P>0.05).结论 COPD并发肺部感染患者接受氨溴索联合左氧氟沙星治疗,可提升临床疗效,改善肺功能,缓解炎症反应,且安全性良好.
Clinical Efficacy of Ambroxol Combined with Levofloxacin in the Treatment of Chronic Obstructive Pulmonary Disease Complicated with Pulmonary Infection and Its Impact on Lung Function in Patients
Objective To analyze the effect of ambroxol combined with levofloxacin in patients with chronic obstructive pulmonary disease(COPD)complicated with pulmonary infection.Methods A total of 80 patients with COPD complicated with pulmonary infection admitted to Jinan Third People's Hospital from September 2018 to August 2023 were selected as the research objects,and were divided into a control group and an observation group by random number table method,with 40 cases in each group.The control group was treated with levofloxacin hydrochloride injection,and the observation group was treated with ambroxol hydrochloride injection on the basis of this.The clinical efficacy,lung function,levels of inflammatory factors and occurrence of adverse reactions were compared between the two groups.Results The total effective rate of the observation group was 95.00%,higher than 80.00%of the control group,the difference was statistically significant(P<0.05).After treatment,the forced vital capacity and forced expiratory volume in one second in the observation group were greater than those in the control group,and the differences between the groups were statistically significant(P<0.05).After treatment,the levels of C-reactive protein,procalcitonin and white blood cells in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Ambroxol combined with levofloxacin in patients with COPD complicated with pulmonary infection can improve clinical efficacy,improve lung function,relieve inflammation,and have good safety.

Chronic obstructive pulmonary diseasePulmonary infectionAmbroxolLevofloxacinLung function

郝玉佳

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济南市第三人民院呼吸内科,山东济南 250132

慢性阻塞性肺疾病 肺部感染 氨溴索 左氧氟沙星 肺功能

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(9)