首页|乌司他丁联合利奈唑胺对重症肺炎患者炎症反应及肺功能指标的影响

乌司他丁联合利奈唑胺对重症肺炎患者炎症反应及肺功能指标的影响

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目的 研究乌司他丁联合利奈唑胺对重症肺炎患者炎症反应及肺功能指标的影响.方法 选择 96例重症肺炎患者,按不同治疗方法分为两组,各48 例.对照组用利奈唑胺治疗,观察组用乌司他丁联合利奈唑胺治疗,治疗 4周.比较两组临床疗效、炎症水平、肺功能及不良反应.结果 观察组治疗总有效率为 95.83(46/48),与对照组的83.33%(40/48)对比,差异有统计学意义(P<0.05);治疗后,观察组降钙素原(PCT)水平为(340.57±57.34)ng/L、C反应蛋白(CRP)水平为(10.02±3.21)mg/L、肿瘤坏死因子(TNF-α)水平为(10.87±8.21)pg/mL,低于对照组的(510.36±62.37)ng/L、(25.69±5.31)mg/L、(19.45±8.10)pg/mL;1s用力呼气容积(FEV1)指标为(50.02±0.25)%、用力肺活量(FVC)指标为(67.38±8.97)%、最大呼气峰流速(PEF)指标为(2.05±0.35)L·s-1,高于对照组的(45.31±1.15)%、(59.57±7.66)%、(1.54±0.27)L·s-1,差异有统计学意义(P<0.05);两组不良反应比较,差异无统计学意义(P>0.05).结论 对重症肺炎患者应用利奈唑胺联合乌司他丁共同治疗可有效缓解患者临床症状,改善患者肺功能,降低患者体内炎症反应,提高临床疗效,安全可靠.
Effects of Ulinastatin Combined with Linezolid on Inflammatory Reaction and Lung Function Indicators in Patients with Severe Pneumonia
Objective To study the effect of ulinastatin combined with Linezolid on inflammatory reaction and lung function indicators in patients with severe pneumonia.Methods 96 patients with severe pneumonia were selected and divided into two groups according to different treatment methods,with 48 cases in each group.The control group was treated with Linezolid,and the observation group was treated with ulinastatin combined with Linezolid for 4 weeks.Compare the clinical ef-ficacy,inflammation levels,lung function,and adverse reactions between the two groups.The total effective rate of the observa-tion group was 95.83%(46/48),which was statistically significant(P<0.05)compared to 83.33%(40/48)of the control group;Af-ter treatment,in the observation group,the level of Calcitonin(PCT)was(340.57±57.34)ng/L,the level of C-reactive protein(CRP)was(10.02±3.21)mg/L,and tumor necrosis factor(TNF-α)The level was(10.87±8.21)pg/mL,lower than the control group's(510.36±62.37)ng/L,(25.69±5.31)mg/L,and(19.45±8.10)pg/mL;The index of forced expiratory volume(FEV1)in 1s was(50.02±0.25)%,the index of forced Vital capacity(FVC)was(67.38±8.97)%,and the index of maximum expiratory peak flow rate(PEF)was(2.05±0.35)L·s-1,which was higher than that of the control group(45.31±1.15)%,(59.57±7.66)%,(1.54±0.27)L·s-1,with statistical significance(P<0.05);There was no statistically significant difference in adverse reactions between the two groups(P>0.05).Conclusion The combination of Linezolid and ulinastatin can effectively alleviate the clinical symptoms,improve the lung function,reduce the inflammatory reaction in patients with severe pneumonia,and improve the clinical effi-cacy,which is safe and reliable.

Patients with severe pneumoniaUlinastatinLinezolidInflammationPulmonary functio

马盈盈

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郑州市金水区总医院老年医学科,河南 郑州 450000

重症肺炎患者 乌司他丁 利奈唑胺 炎症 肺功能

2024

哈尔滨医药
哈尔滨市医学会

哈尔滨医药

影响因子:0.697
ISSN:1001-8131
年,卷(期):2024.44(2)
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