首页|氨溴索联合头孢唑肟、阿奇霉素治疗肺炎的效果及对肺功能的影响

氨溴索联合头孢唑肟、阿奇霉素治疗肺炎的效果及对肺功能的影响

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目的 分析氨溴索联合头孢唑肟、阿奇霉素治疗肺炎的效果及对肺功能的影响.方法 选择我院2020年7月至2021年7月收治的70例肺炎患者为研究对象,按照随机分配原则将其分为对照组和研究组,每组35例.对照组接受头孢唑肟、阿奇霉素治疗,研究组在对照组基础上联合氨溴索治疗.比较两组的治疗效果.结果 研究组的退热时间、呼吸通畅时间、肺啰音消失时间、咳嗽消失时间、X线片阴影消失时间短于对照组(P<0.05).治疗后,研究组的用力肺活量(FVC)、呼气峰流速(PEF)、静态肺顺应性高于对照组(P<0.05).治疗后,研究组的高迁移率族蛋白B1(HMGB1)、白细胞介素-17(IL-17)水平低于对照组,白细胞介素-4(IL-4)水平、中性粒细胞吞噬百分率高于对照组(P<0.05).治疗后,研究组的免疫球蛋白A(IgA)、免疫球蛋白M(IgM)、免疫球蛋白G(IgG)水平高于对照组(P<0.05).结论 氨溴索联合头孢唑肟、阿奇霉素治疗肺炎的效果显著,能够控制临床症状,改善肺功能、免疫功能,促进患者康复,值得临床推广.
Effect of ambroxol combined with ceftizoxime and azithromycin in the treatment of pneumonia and its influence on lung function
Objective To analyze the effect of ambroxol combined with ceftizoxime and azithromycin in the treatment of pneumonia and its influence on lung function.Methods A total of 70 patients with pneumonia admitted in our hospital from July 2020 to July 2021 were selected as the research objects and divided into control group and study group according to the principle of random distribution,with 35 cases in each group.The control group was treated with ceftizoxime and azithromycin,and the study group was treated with ambroxol on the basis of the control group.The therapeutic effects of the two groups were compared.Results The antipyretic time,respiratory patency time,lung rale disappearance time,cough disappearance time and X-ray shadow disappearance time of the study group were shorter than those of the control group(P<0.05).After treatment,the forced vital capacity(FVC),peak expiratory flow(PEF)and static lung compliance of the study group were higher than those of the control group(P<0.05).After treatment,the levels of high mobility group box 1(HMGB1)and interleukin-17(IL-17)in the study group were lower than those in the control group,and the level of interleukin-4(IL-4)and neutrophil phagocytosis percentage were higher than those in the control group(P<0.05).After treatment,the levels of immunoglobulin A(IgA),immunoglobulin M(IgM)and immunoglobulin G(IgG)in the study group were higher than those in the control group(P<0.05).Conclusion The ambroxol combined with ceftizoxime and azithromycin in the treatment of pneumonia has a significant effect.It can control clinical symptoms,improve lung function and immune function,and promote the rehabilitation of patients,which is worthy of clinical promotion.

ambroxolceftizoximeazithromycinpneumonialung function

孙小建、张明

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三原县医院,陕西咸阳,713800

氨溴索 头孢唑肟 阿奇霉素 肺炎 肺功能

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(5)
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