首页|氨溴索联合哌拉西林钠他唑巴坦钠治疗新生儿肺炎的疗效及对血清CRP、PCT、WBC水平的影响

氨溴索联合哌拉西林钠他唑巴坦钠治疗新生儿肺炎的疗效及对血清CRP、PCT、WBC水平的影响

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目的:探讨哌拉西林钠他唑巴坦钠基础上,使用氨溴索对新生儿肺炎的治疗效果。方法:新生儿肺炎患儿160例随机分为对照组(80例)与观察组(80例)。对照组予以哌拉西林钠他唑巴坦钠治疗,观察组予以氨溴索联合哌拉西林钠他唑巴坦钠,两组均连续治疗7d。评价两组治疗效果,对比两组症状改善时间和血清C反应蛋白(CRP)、降钙素原(PCT)和白细胞计数(WBC)水平,并观察不良反应。结果:相比对照组(80。00%),观察组治疗总有效率(92。50%)更高(P<0。05)。相比对照组,观察组发热、咳嗽、气促和肺部啰音的消失时间均缩短(P<0。05)。治疗后,观察组血清CRP、PCT和WBC水平均显著低于对照组(P<0。05)。不良反应发生率对比,两组之间不具有统计学差异(P>0。05)。结论:氨溴索联合哌拉西林钠他唑巴坦钠治疗新生儿肺炎,可显著促进患儿症状改善,使炎症指标降低,治疗效果较好。
Objective:To investigate the therapeutic effect of ambroxol on neonatal pneumonia based on piperacillin sodium and tazobactam sodium..Methods:A total of 160 neonates with pneumonia were randomly divided into control group(80 cases)and observation group(80 cases),and was treated with piperacillin sodium and tazobactam sodium,ambroxol combined with piperacillin sodium and tazobactam sodium respectively.Both groups were treated continuously for 7 days.The treatment effects of the two groups were evaluated.The improvement time of symptoms and the levels of serum C-reactive protein(CRP),procalcitonin(PCT)and white blood cell count(WBC)were compared between the two groups,and the adverse reactions were observed.Results:The total effective rate of treatment in the observation group(92.50%)was higher comparing with the control group(80.00%)(P<0.05).Compared with the control group,the disappearance time of fever,cough,shortness of breath and pulmonary rales in the observation group was shortened(P<0.05).After treatment,the levels of serum CRP,PCT and WBC in the observation group were lower comparing with the control group(P<0.05).Moreover,the incidence of adverse reactions was compared between the two groups and there was not statistically different(P>0.05).Conclusion:Ambroxol combined with piperacillin sodium and tazobactam sodium in the treatment of neonatal pneumonia can promote the improvement of symptoms,reduce serum CRP,PCT and WBC levels,with good curative effect and no increase in adverse reactions.

Neonatal pneumoniaPiperacillin sodium and tazobactam sodiumAmbroxolInflammationCurative effect

孙明珠、陈少华、张光林

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三明市第二医院·福建永安 366000

哌拉西林钠他唑巴坦钠 氨溴索 炎症 疗效 新生儿肺炎

2023

黑龙江中医药
黑龙江省中医研究院

黑龙江中医药

影响因子:0.425
ISSN:1000-9906
年,卷(期):2023.52(6)
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