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奥马环素与莫西沙星治疗社区获得性肺炎的效果比较

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目的 比较奥马环素与莫西沙星治疗社区获得性肺炎的效果.方法 选取2022年5月至2023年11月江苏省苏北人民医院收治的社区获得性肺炎患者156例,按照随机数字表法分为观察组和对照组,每组各78例.在基础治疗的基础上,对照组进行莫西沙星治疗,观察组进行奥马环素治疗,均连续治疗7~14 d.比较两组临床疗效、临床症状改善时间、炎症指标[白细胞计数(WBC)、C反应蛋白(CRP)、降钙素原(PCT),及白细胞介素-6(IL-6)水平]、病原体清除率,及不良反应发生情况.结果 观察组治疗期间脱落2例.观察组临床疗效优于对照组,差异有统计学意义(P<0.05).治疗前,两组炎症指标比较,差异无统计学意义(P>0.05);治疗后,两组WBC、CPR、PCT、IL-6水平低于治疗前,且观察组WBC、CRP、PCT水平低于对照组,差异有统计学意义(P<0.05),两组IL-6水平比较,差异无统计学意义(P>0.05).两组病原体清除率比较,差异无统计学意义(P>0.05).两组不良反应总发生率比较,差异无统计学意义(P>0.05).结论 与莫西沙星比较,奥马环素治疗社区获得性肺炎效果较为优异,促进临床症状缓解,降低炎症反应,安全可行.
Comparison of the effects of Omadacycline and Moxifloxacin in the treat-ment of community-acquired pneumonia
Objective To compare the efficacy of Omadacycline and Moxifloxacin in the treatment of community-acquired pneumonia.Methods A total of 156 patients with community-acquired pneumonia admitted to Northern Jiangsu People's Hospital from May 2022 to November 2023 were selected and they were divided into observation group and control group according to the random number table method,with 78 cases in each group.On this basis,the control group was treated with Moxifloxacin,and the observation group was treated with Omadacycline.The two groups were treat-ed for 7-14 days.Clinical efficacy,improvement time of clinical symptoms,inflammatory indicators(white blood cell count[WBC],C-reactive pro-tein[CRP],procalcitonin[PCT],and interleukin-6[IL-6]levels),pathogen clearance,and adverse reactions were compared between the two groups.Results In the observation group,two cases fell off during treatment.The clinical efficacy of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in inflammation indexes be-tween the two groups(P>0.05).After treatment,WBC,CPR,PCT,and IL-6 levels of the two groups were lower than before treatment,and WBC,CRP,and PCT in the observation group were lower than the control group,the differences were statistically significant(P<0.05),while there was no significant difference in the IL-6 level of the two groups(P>0.05).There was no significant difference in pathogen clearance between the two groups(P>0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion Compared with Moxifloxacin,Omadacycline is effective in the treatment of community-acquired pneumonia,which can promote the relief of clinical symptoms,reduce inflammatory response,and is safe and feasible.

OmadacyclineMoxifloxacinCommunity-acquired pneumonia

余如华、徐蓉蓉、吴书清

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江苏省苏北人民医院药学部,江苏扬州 225008

江苏省苏北人民医院呼吸与危重症医学科,江苏扬州 225008

奥马环素 莫西沙星 社区获得性肺炎

国家自然科学基金资助项目

81900085

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(17)