首页|盐酸溴己新联合哌拉西林-他唑巴坦对支气管扩张伴感染患者外周血NLR、IFN-γ水平的影响

盐酸溴己新联合哌拉西林-他唑巴坦对支气管扩张伴感染患者外周血NLR、IFN-γ水平的影响

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目的:探究盐酸溴己新联合哌拉西林-他唑巴坦对支气管扩张伴感染患者外周血中性粒细胞/淋巴细胞比值(Neutrophil-lymphocyte ratio,NLR)、干扰素-γ(Interferon γ,IFN-γ)水平的影响.方法:纳入我院 2022年 2 月至 2023 年 2 月收治的支气管扩张伴感染患者,随机分为单一组 40 例(常规治疗及静脉滴注盐酸溴己新)和联用组 40 例(在单一组的基础上静脉滴注哌拉西林-他唑巴坦).治疗前后,比较两组的中性粒细胞计数(Neutrophil count,NEUT)、淋巴细胞计数(Lymphocyte count,LYM),NLR和IFN-γ的水平.结果:联用组治疗总有效率高于单一组(P<0.05);与治疗前相比,各组患者NEUT、LYM、NLR、IFN-γ水平均明显降低(P<0.05),其中联用组更加显著(P<0.05);两组不良反应发生率无显著差异.结论:盐酸溴己新和哌拉西林-他唑巴坦联合用于治疗支气管扩张伴感染疗效显著,可有效改善NLR、IFN-γ水平,且安全性高.
Influence of bromhexine hydrochloride combined with piperacillin-tazobactam on peripheral blood NLR and IFN-γ levels in patients with bronchiectasis and infection
Objective:To investigate the influence of bromhexine hydrochloride combined with piperacillin-tazobactam on peripheral blood neutrophil-lymphocyte ratio(NLR)and interferon-γ(IFN-γ)levels in patients with bronchiectasis complicated with infection.Methods:Patients with bronchiectasis and infection in the hospital from February 2022 to February 2023 were included and divided into single group(40 cases,conventional treatment and intravenous infusion of bromhexine hydrochloride)and combined group(40 cases,intravenous infusion of piperacillin-tazobactam on the basis of single group).Before and after treatment,the levels of neutrophil count(NEUT),lymphocyte count(LYM),NLR and the levels of IFN-γ was compared between the two groups.Results:The total effective rate of treatment in combined group was higher than that in the single group(P<0.05).Compared with before treatment,the levels of NEUT,LYM,NLR and IFN-γ in both groups were significantly decreased(P<0.05),and the changes in combined group were more significant(P<0.05).The incidence of adverse reactions of two groups hadn't significant differences(P>0.05).Conclusion:Bromhexine hydrochloride combined with piperacillin-tazobactam has significant efficacy in the treatment of bronchiectasis with infection,and can effectively improve the levels of NLR and IFN-γ,with high safety.

Bromhexine hydrochloridePiperacillin-tazobactamBronchiectasis with infectionNeutrophil-lymphocyte ratioInterferon-γ

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鄱阳县人民医院全科,江西 上饶 333100

盐酸溴己新 哌拉西林-他唑巴坦 支气管扩张伴感染 中性粒细胞/淋巴细胞比值 干扰素-γ

2024

四川生理科学杂志
四川省生理科学会

四川生理科学杂志

影响因子:0.575
ISSN:1671-3885
年,卷(期):2024.46(10)