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乌司他丁联合美罗培南治疗重症肺炎的效果分析

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目的 分析乌司他丁联合美罗培南治疗重症肺炎患者的临床效果.方法 80例重症肺炎患者随机分为两组.在常规治疗基础上,对照组予以美罗培南治疗,联合给药组予以乌司他丁联合美罗培南治疗.比较两组的疗效、炎性因子、肺功能以及不良反应.结果 联合给药组的总有效率显著高于对照组(P<0.05).治疗后,联合给药组的血清IL-1β、TNF-α水平均显著低于对照组,FEV1、FVC均显著高于对照组(P<0.05).两组的不良反应总发生率比较,差异无统计学意义(P>0.05).结论 乌司他丁联合美罗培南治疗重症肺炎可下调患者的炎性因子水平,改善患者的肺功能,且无明显不良反应.
Analysis on the Effect of Ulinastatin Combined with Meropenem in the Treatment of Severe Pneumonia
Objective To analyze the clinical effect of ulinastatin combined with meropenem in the treatment of patients with severe pneumonia.Methods 80 patients with severe pneumonia were randomly divided into two groups.On the basis of conventional treatment,the control group was treated with meropenem,while the combined treatment group was treated with ulinastatin combined with meropenem.The efficacy,inflammatory factors,lung function,and adverse reactions were compared between the two groups.Results The total effective rate of the combined treatment group was significantly higher than that of the control group(P<0.05).After treatment,the levels of serum IL-1β,TNF-α of the combined treatment group were significantly lower than those of the control group,and FEV1 and FVC were significantly higher than those of the control group(P<0.05).No statistically significant difference was found in the total incidence of adverse reactions between the two groups(P>0.05).Conclusions Ulinastatin combined with meropenem in the treatment of severe pneumonia can down-regulate the levels of inflammatory factors and improve lung function of patients without obvious adverse reactions.

Severe pneumoniaUlinastatinMeropenemInflammatory factorLung function

周拓、丁锋

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南阳医专第一附属医院呼吸与危重症医学科,河南南阳 473000

重症肺炎 乌司他丁 美罗培南 炎性因子 肺功能

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(4)
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