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莫西沙星治疗耐多药肺结核的临床效果观察

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目的:观察莫西沙星在耐多药肺结核病治疗方面的临床疗效及安全性。方法将2010年6月~2013年5月期间新乡医学院第一附属医院河南省结核病院收治的88例耐多药肺结核病患者随机分为治疗组(44例)和对照组(44例),治疗组患者应用含莫西沙星方案;对照组应用含左氧氟沙星方案,疗程结束后,两组进行对比观察。结果治疗组和对照组的治疗总有效率分别为90.91%和63.64%;痰菌转阴率分别为93.18%和65.91%,差异有统计学意义(P <0.05);病灶吸收率分别为84.10%和56.82%,差异有统计学意义(P <0.05);空洞闭合率分别为87.80%和45.00%,差异有统计学意义(P <0.05);不良反应发生率分别为29.55%和40.91%,差异无统计学意义(P >0.05)。结论相对左氧氟沙星而言,莫西沙星治疗耐多药肺结核病的疗效、痰菌转阴率比较好,不良反应发生率较低。
Clinical Ef ect Observation of Moxifloxacin in the Treatment of MDR -PTB
Objective To observe the clinical ef icacy and safety of moxifloxacin in the treatment of MDR -PTB.Methods According to the dif erent treatment methods,Total y 88 Patients with MDR -PTB,who were randomly divided into treatment group(44 cases)and control group (44 cases)In our hospital During the period from 2010 June to 2013 May .The patient were given moxifloxacin,0.4g,once a day,The Patient were given levofloxacin,0.6g,once a day.Al patients were treated for 18 months.The two groups also are combined with other types of antituberculosis drugs.Result After the end of treatment,The total ef iciency of treatment group and control group respectively were90.91% and 63.64%,the dif erence was statistical y significant (P <0.05);the sputum negative conversion rate respectively were 93.18% and 72.73%,the dif erence was statistical y significant (P <0.05);the focus absorption rate respectively were 84.10% and 56. 82%,the dif erence was statistical y significant (P <0.05);cavity closure rate respectively were 87.80% and 45.00%,the dif erence was statistical y significant (P <0.05);The incidence of adverse reaction respectively were 29.55% and 40.91%,there was no significant dif erence (P >0.05).Conclusion The curative ef ect and the sputum negative conversion rate of moxifloxacin are superior to those of levofloxacin,and the adverse reactions of moxifloxacin rate is lower.

moxifloxacinmulti drug resistant pulmonary tuberculosiscurative ef ect observation

张春晓、张崇、曹青山

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新乡医学院第一附属医院结核内三科 453100

新乡医学院药学院 453000

新乡医学院第一附属医院结核内二科 453100

莫西沙星 耐多药肺结核病 疗效观察

2015

医学美学美容(中旬刊)
陕西省东方美容文化研究所

医学美学美容(中旬刊)

影响因子:0.212
ISSN:1004-4949
年,卷(期):2015.(2)
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