首页|美罗培南联合头孢哌酮钠舒巴坦钠治疗老年重症肺炎患者的临床研究

美罗培南联合头孢哌酮钠舒巴坦钠治疗老年重症肺炎患者的临床研究

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目的 探讨美罗培南联合头孢哌酮钠舒巴坦钠治疗老年重症肺炎患者的临床效果.方法 选取2021年1月至2022年2月我院收治的老年重症肺炎患者86例,随机分为参照组(n=43)和研究组(n=43).参照组采用头孢哌酮钠舒巴坦钠治疗,研究组采用美罗培南联合头孢哌酮钠舒巴坦钠治疗,均连续治疗7 d.比较两组的治疗效果及血清CRP、sICAM-1、sTREM-1水平和不良反应.结果 研究组治疗总有效率为95.35%,高于参照组的81.40%(P<0.05).治疗7 d后,研究组血清CRP、sICAM-1、sTREM-1水平均低于参照组(P<0.05).研究组治疗期间不良反应发生率为16.28%,与参照组的18.60%比较无统计学差异(P>0.05).结论 美罗培南联合头孢哌酮钠舒巴坦钠治疗老年重症肺炎具有显著效果,可明显降低患者血清CRP、sICAM-1、sTREM-1水平,且安全可靠.
Clinical Study on Meropenem Combined with Cefoperazone Sodium and Sulbactam Sodium in the Treatment of Elderly Patients with Severe Pneumonia
Objective To explore the clinical effect of meropenem combined with cefoperazone sodium and sulbactam sodium in the treatment of elderly patients with severe pneumonia.Methods 86 elderly patients with severe pneumonia admitted to our hospital from January 2021 to February 2022 were selected and randomly divided into the reference group(n=43)and the study group(n=43).The reference group was treated with cefoperazone sodium and sulbactam sodium,and the study group was treated with meropenem combined with cefoperazone sodium and sulbactam sodium.Both groups were treated continuously for 7 days.The treatment effect,serum CRP,sICAM-1 and sTREM-1 levels,and adverse reactions were compared between the two groups.Results The total effective rate of treatment in the research group was 95.35%,higher than 81.40%in the control group(P<0.05).After 7 days of treatment,the serum CRP,sICAM-1 and sTREM-1 levels of the study group were lower than those of the reference group(P<0.05).No statistical difference was found in the incidence of adverse reactions(16.28%vs.18.60%)between the two groups(P>0.05).Conclusions Meropenem combined with cefoperazone sodium and sulbactam sodium has significant effect in the treatment of elderly patients with severe pneumonia,which can significantly reduce the serum CRP,sICAM-1 and sTREM-1 levels,and is safe and reliable.

Elderly severe pneumoniaMeropenemCefoperazone sodium and sulbactam sodiumClinical effect

刘永萍、夏瑞、李云

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驻马店市中心医院重症监护室,河南驻马店 463000

老年重症肺炎 美罗培南 头孢哌酮钠舒巴坦钠 临床效果

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(9)