首页|纤维支气管镜药物灌注与莫西沙星联合应用于耐多药肺结核中的效果分析

纤维支气管镜药物灌注与莫西沙星联合应用于耐多药肺结核中的效果分析

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目的 分析耐多药肺结核(Multidrug Resistant Tuberculosis,MDR-TB)患者使用莫西沙星联合纤维支气管镜(Brancho Fiberoscope,BF)药物灌注治疗的效果.方法 选取2021年1月—2022年12月菏泽市传染病医院收治的120例MDR-TB患者,以随机数表法分为两组.对照组(60例)采取常规化疗方案治疗,研究组(60例)在常规化疗的基础上应用BF药物灌注联合莫西沙星治疗.比较两组患者的临床疗效、C反应蛋白(C-reactive Protein,CRP)与降钙素原(Procalcitonin,PCT)水平以及不良反应发生情况.结果 研究组患者的总有效率为91.67%,高于对照组的73.33%,差异有统计学意义(χ2=6.984,P<0.05).治疗后与对照组相比,研究组患者的CRP、PCT水平更低,差异有统计学意义(P均<0.05).两组患者的不良反应对比,差异无统计学意义(P>0.05).结论 MDR-TB患者采用BF药物灌注联合莫西沙星治疗可以增强临床疗效,抑制机体炎症因子,安全性较为理想,具有临床应用价值.
Analysis of the Effect of Combined Application of Brancho Fiberoscope Drug Perfusion and Moxifloxacin in Multidrug Resistant Tuberculosis
Objective To analyze the effect of moxifloxacin combined with brancho fiberoscope(BF)drug perfusion treatment in patients with multidrug resistant tuberculosis(MDR-TB).Methods 120 MDR-TB patients admitted to Heze Infectious Disease Hospital from January 2021 to December 2022 were selected and randomly divided into two groups using a random number table method.The control group(60 cases)received conventional chemotherapy regi-men,while the study group(60 cases)received BF drug perfusion combined with moxifloxacin treatment on the basis of conventional chemotherapy.The clinical efficacy,levels of C-reactive protein(CRP)and procalcitonin(PCT),and adverse reactions were compared between the two groups.Results The total effective rate of the study group patients was 91.67%,which was higher than the control group's 73.33%,and the difference was statistically significant(χ2= 6.984,P<0.05).After treatment,compared with the control group,the CRP and PCT levels in the study group were lower,and the differences were statistically significant(both P<0.05).There was no statistically significant difference in the adverse reactions between the two groups of patients(P>0.05).Conclusion The treatment of MDR-TB patients with BF drug perfusion combined with moxifloxacin can enhance the clinical efficacy,inhibit the inflammatory factors of the body,the safety is more ideal,and it has clinical application value.

Brancho fiberoscopeDrug perfusionMoxifloxacinMultidrug resistant tuberculosis

刘贵学

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菏泽市传染病医院结核二科,山东菏泽 274000

纤维支气管镜 药物灌注 莫西沙星 耐多药肺结核

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(1)
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