首页|替加环素联合美罗培南治疗重症腹腔感染的效果及其对血常规、血生化指标的影响

替加环素联合美罗培南治疗重症腹腔感染的效果及其对血常规、血生化指标的影响

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目的 分析在重症腹腔感染中联合使用替加环素、美罗培南的效果及其对血常规、血生化指标的改善作用.方法 便利选取2020年3月—2023年12月江苏省扬州市中医院收治的97例重症腹腔感染病患者为研究对象,根据治疗方法不同分为对照组(48例)和观察组(49例).对照组予以美罗培南治疗,观察组予以替加环素联合美罗培南治疗,比较两组患者治疗后各生理指标、血常规及生化指标、免疫球蛋白水平的改善情况.结果 治疗后,观察组生理指标中体温(36.81±0.60)℃、呼吸频率(16.74±2.52)次/min、心率(75.42±5.82)次/min均低于对照组的(37.34±0.65)℃、(18.41±2.71)次/min、(80.56±6.03)次/min,收缩压(112.54±12.17)mmHg和舒张压(74.06±5.41)mmHg均高于对照组(104.41±12.06)mmHg、(71.31±5.52)mmHg,差异有统计学意义(t=4.174、3.144、4.272、3.304、2.478,P均<0.05);对照组血常规、生化指标均差于观察组,差异有统计学意义(P均<0.05);对照组免疫球蛋白含量低于观察组,差异有统计学意义(P<0.05).结论 对于重症腹腔感染患者而言,联合使用替加环素、美罗培南治疗可改善生理功能、血常规及血生化指标,提升免疫力.
The Effect of Tigecycline Combined with Meropenem in the Treatment of Severe Abdominal Infection and Its Impact on Blood Routine and Bio-chemical Indicators
Objective To analyze the effect of combined use of tigecycline and meropenem in severe abdominal infec-tion and its improvement on blood routine and blood biochemical indexes.Methods A total of 97 patients with severe abdominal infection admitted to Yangzhou Hospital of Traditional Chinese Medicine of Jiangsu Province from March 2020 to December 2023 were conveniently selected as the research objects.They were divided into control group(48 cases)and observation group(49 cases)by different treatment method.The control group was treated with meropenem,and the observation group was treated with tigecycline combined with meropenem.The improvement of all aspects af-ter treatment was compared between the two groups.Results After treatment,the body temperature(36.81±0.60)℃,respiratory rate(16.74±2.52)times/min and heart rate(75.42±5.82)times/min in the observation group were lower than(37.34±0.65)℃,(18.41±2.71)times/min and(80.56±6.03)times/min in the control group,the systolic blood pres-sure(112.54±12.17)mmHg and diastolic blood pressure(74.06±5.41)mmHg were higher than(104.41±12.06)mmHg and(71.31±5.52)mmHg in the control group,and the differences were statistically significant(t=4.174,3.144,4.272,3.304,2.478,all P<0.05);the blood routine and biochemical indexes of the control group were worse than those of the observation group,and the differences were statistically significant(both P<0.05).The immunoglobulin in the control group was lower than that in the observation group,and the difference was statistically significant(P<0.05).Conclu-sion For patients with severe abdominal infection,the combined use of tigecycline and meropenem can improve physi-ological function,blood routine and blood biochemical indicators,and improve immunity.

Severe abdominal infectionTigecyclineMeropenemBlood routineBlood biochemistryImmunoglobulin

叶家茂

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江苏省扬州市中医院重症医学科,江苏 扬州 225000

重症腹腔感染 替加环素 美罗培南 血常规 血生化 免疫球蛋白

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(21)