首页|163例重症结核合并脓毒症患者的临床特征及联合用药分析

163例重症结核合并脓毒症患者的临床特征及联合用药分析

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目的 分析重症结核合并脓毒症患者临床特征及联合用药.方法 以2020年10月-2023年12月昆明市第三人民医院收治的重症结核合并脓毒症且住院28d生存的患者为研究对象,利用Microsoft Excel 2016和SPSS18.0软件对患者基本信息、用药关联规则进行统计分析.结果 患者主要合并贫血、呼吸衰竭、电解质代谢紊乱等疾病;用药及用药种类使用频次最多的分别是异烟肼和抗结核类;关联规则分析结果显示:按用药品种分析,乙胺丁醇与异烟肼联合应用比例最高(77.30%);按用药药理分析,喹诺酮类与抗结核药联合应用比例最高(77.91%).结论 重症结核合并脓毒症患者大多合并贫血、呼吸衰竭、电解质代谢紊乱等疾病.临床主要以抗结核联合抗菌治疗为主,用药基本符合指南及专家共识的推荐,可为重症结核合并脓毒症患者的临床用药提供一定的参考.
Analysis of clinical features and combined drug use in 163 patients with severe tuberculosis complicated with sepsis
Objective To analyze the clinical features and combined drug use in patients with severe tuberculosis complicated with sepsis.Methods Patients with severe tuberculosis combined with sepsis admitted to the Third People's Hospital of Kunming from October 2020 to December 2023,who were hospitalized for 28 days and survived,were selected as the research object.Microsoft Excel 2016 and SPSS Modeler 18.0 software were used for statistical analysis on the basic information of patients and drug association rules.Results Patients with anemia,respiratory failure,electrolyte metabolism disorders and other diseases;The most frequently used drugs and drug types were isoniazid and antituberculosis respectively.The results of association rule analysis showed that the combination of ethambutol and isoniazid had the highest proportion(77.30%)according to drug varieties,and the combination of quinolones and anti-tuberculosis drugs had the highest proportion(77.91%)according to pharmacological analysis of drugs.Conclusions Most patients with severe tuberculosis complicated with sepsis are complicated with anemia,respiratory failure,electrolyte metabolism disorders and other diseases.The clinical treatment is mainly anti-tuberculosis combined with antibacterial treatment,and the drug use is basically in line with the recommendations of guidelines and expert consensus,which can provide certain reference for clinical drug use in patients with severe tuberculosis combined with sepsis.

severe tuberculosissepsisclinical featuresdrug combination

姚晓蝶、郑胜安、沈磊、陈洁、刘疆、刘幸

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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

重症结核 脓毒症 临床特征 联合用药

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)