首页|奥马环素对比莫西沙星治疗老年患者社区获得性肺炎的探讨

奥马环素对比莫西沙星治疗老年患者社区获得性肺炎的探讨

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目的 探究奥马环素与莫西沙星对于老年患者社区获得性肺炎的疗效及安全性的比较.方法 通过收集分析2023年3月-2023年9月期间昆明市第三人民医院接诊的62例老年社区获得性肺炎患者的病历信息,根据用药情况分为奥马环素实验组(n=31)和莫西沙星对照组(n=31),观察2组患者的临床疗效和不良反应发生情况,采用SPSS23.0统计学软件对数据进行处理.结果 实验组与对照组临床有效率分别占93.55%和96.77%,差异无统计学意义(P>0.05).实验组不良反应率略高于对照组,差异无统计学意义(P>0.05);在治疗后2组实验室指标中的K+、血红蛋白、尿素氮差异有统计学意义(P<0.05),治疗期间患者耐受性良好.结论 奥马环素在治疗老年患者社区获得性肺炎中疗效不劣于莫西沙星,安全性良好,为社区获得性肺炎老年患者提供新的治疗方案.
Omacycline versus moxifloxacin in the treatment of community-acquired pneumonia in elderly patients
Objective To explore the efficacy and safety of omadacycline versus moxifloxacin in the treatment of community-acquired pneumonia(CAP)in elderly patients.Methods By collecting and analyzing the medical records of 62 elderly patients with community-acquired pneumonia(CAP)admitted to Third People's Hospital of Kunming from March 2023 to September 2023,the patients were divided into an omadacycline treatment group(n=31)and a moxifloxacin treatment group(n=31)based on their medication regimen.The clinical efficacy and occurrence of adverse reactions in both groups were observed,and the data were processed by SPSS23.0 statistical software.Results The clinical effective rate in the omadacycline and moxifloxacin group was 93.55%and 96.77%,respectively,with no statistically significant difference(P>0.05).The adverse reaction rate was slightly higher in the omadacycline group compared to the moxifloxacin group,and the difference was not statistically significant(P>0.05).There were statistically significant differences in K+,hemoglobin,urea nitrogen and total protein between the two groups after treatment(P<0.05),and the patients in both groups exhibited good tolerability during treatment.Conclusions Omadacycline demonstrates non-inferior efficacy to moxifloxacin in the treatment of CAP in elderly patients,with good safety profiles,offering a novel therapeutic option for elderly patients with community-acquired pneumonia.

omacyclineelderly patientscommunity-acquired pneumoniaeffectivenesssecurity

刘疆、万江桔、杨闯、张开义、李娜、罗季

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大理大学药学院,云南 大理 671000

昆明市第三人民医院/云南省传染性疾病临床医学中心药学部,云南 昆明 650041

奥马环素 老年患者 社区获得性肺炎 有效性 安全性

2024

云南医药
中华医学会云南分会

云南医药

影响因子:0.459
ISSN:1006-4141
年,卷(期):2024.45(6)