首页|阿莫西林克拉维酸钾对防治前列腺增生TURP术后感染的影响

阿莫西林克拉维酸钾对防治前列腺增生TURP术后感染的影响

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目的 观察阿莫西林克拉维酸钾对前列腺增生患者经尿道前列腺切除术(TURP)术后感染的防治效果.方法 选取112 例前列腺增生患者,按照随机数字表法分为对照组和观察组,每组 56 例.患者均接受TURP治疗,对照组术后实施常规抗感染治疗,观察组术后采用阿莫西林克拉维酸钾辅助治疗,比较两组的炎症指标、免疫指标改善情况,术后感染发生情况及用药安全性.结果 治疗后,观察组的CRP、IL-10 均低于对照组,T淋巴细胞CD4+/CD3+、CD4+/CD8+均高于对照组,CD8+/CD3+以及术后感染发生率均低于对照组,差异均具有统计学意义(P<0.05).两组药物不良反应发生率比较,差异无统计学意义(P>0.05).结论 阿莫西林克拉维酸钾辅助TURP治疗,能有效改善前列腺增生患者的炎症指标并增强免疫功能,有利于降低术后感染发生风险,且联合应用此药未明显增加不良反应发生风险,用药安全性较高.
Effects of amoxicillin and clavulanate potassium in the prevention and treatment of postoperative infection in prostate hyperplasia patients undergoing TURP surgery
Objective To observe the preventive and therapeutic effects of amoxicillin and clavulanate potassium on postoperative infections in patients with benign prostatic hyperplasia undergoing transurethral resection of prostate(TURP).Methods 112 patients with benign prostatic hyperplasia were selected and randomly divided into two groups.The patients were received TURP surgery,while the control group had 56 patients who were received routine anti infection treatment after surgery.The observation group had 56 patients who were received adjuvant treatment with amoxicillin and clavulanate potassium after surgery.The improvement of inflammatory and immune indicators,incidence of postoperative infection,and medication safety between the two groups patients were compared.Results After treatment,the CRP and IL-10 levels in the observation group were lower than those in the control group,and the expression levels of CD4+/CD3+and CD4+/CD8+on T lymphocytes were higher than those in the control group.The expression levels of CD8+/CD3+and the incidence of postoperative infection were lower than those in the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the incidence of drug-related side effects between the two groups(P>0.05).Conclusion Amoxicillin clavulanate potassium assisted TURP can effectively improve inflammatory indicators and enhance immune function in patients with benign prostatic hyperplasia,and has a positive effect on reducing the risk of postoperative infection.Moreover,the combined use of this drug do not significantly increase the risk of adverse reactions,and the medication safety is relatively high.

amoxicillin and clavulanate potassiumprostate hyperplasiaprostatectomypostoperative infectiondrug safety

聂书慧

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项城市中医院中药房,项城 466200

阿莫西林克拉维酸钾 前列腺增生 经尿道前列腺切除术

河南省医学科技攻关计划

LHGJ202102164

2024

华夏医学
桂林医学院

华夏医学

影响因子:0.569
ISSN:1008-2409
年,卷(期):2024.37(2)
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