首页|头孢他啶-阿维巴坦在肾移植术后获得性肺炎治疗中的价值分析

头孢他啶-阿维巴坦在肾移植术后获得性肺炎治疗中的价值分析

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目的 观察头孢他啶-阿维巴坦对肾移植术后获得性肺炎患者症状好转时间、肺功能、血气分析指标的影响,分析其对肾移植术后获得性肺炎治疗的价值。方法 选取 2019 年 5 月至 2020 年 7 月郑州人民医院收治的肾移植术后获得性肺炎患者70例为观察目标,根据随机数表法分为对照组35例(注射用亚胺培南西司他丁钠治疗)和研究组35例(头孢他啶-阿维巴坦治疗),对比组间治疗前后发热时间、肺部干湿啰音消失时间、咳嗽咳痰好转时间、肺功能、血气分析指标变化情况,比较组间治疗效果的差异、对比组间不利反应发生情况。结果 在治疗后,两组临床症状较治疗前均有明显减轻,且研究组临床症状积分显著低于对照组,差异存在统计学意义(P<0。05)。研究组发热时间、肺部干湿啰音消失时间、咳嗽咳痰好转时间显著短于对照组,差异存在统计学意义(P<0。05)。治疗后,两组肺功能数据较治疗前均有明显提高,且研究组显著高于对照组,差异有统计学意义(P<0。05)。治疗后,两组的SaO2、PaO2 和OI较治疗前均有明显提高,PaCO2 较治疗前明显降低,且研究组SaO2、PaO2 和OI显著高于对照组,PaCO2 显著低于对照组,差异有统计学意义(P<0。05)。研究组治疗有效率(88。57%)、病原菌清除率(80。00%)高于对照组治疗有效率(71。43%)、病原菌清除率(54。29%),差异有统计学意义(P<0。05)。结论 头孢他啶-阿维巴坦对肾移植术后获得性肺炎的肺功能和血气分析指标具有改善作用,提高治疗效果。
Value Analysis of Ceftazidime-avibactam in the Treatment of acquired Pneumonia after Kidney Transplantation
Objective To observe the effects of ceftazidime-avibactam on symptom improvement time,lung function,and blood gas analysis indicators in patients with acquired pneumonia after kidney transplantation,and analyze its value in the treatment of acquired pneumonia after kidney transplantation.Methods A total of 70 patients with acquired pneumonia after kidney transplantation admitted to Zhengzhou People's Hospital from May 2019 to July 2020 were selected as the observation targets.They were randomly divided into control group of 35 cases(treated with imipenem and cilastatin sodium injection)and study group of 35 cases(treated with ceftazidime-avibactam)according to the random number table.The difference of therapeutic effect and adverse reaction between groups were compared.Results After treatment,the clinical symptoms of both groups were significantly reduced compared to before treatment,and the clinical symptom scores of the study group were significantly lower than those of the control group,with statistical significance(P<0.05).The study group had significantly shorter fever duration,disappearance time of dry and wet rales in the lungs,and improvement time of cough and sputum compared to the control group,with statistical significance(P<0.05).After treatment,the lung function data of both groups showed significant improvement compared to before treatment,and the study group was significantly higher than the control group,with a statistically significant difference(P<0.05).After treatment,the SaO2,PaO2,and OI of both groups were significantly increased compared to before treatment,while PaCO2 was significantly reduced.The SaO2,PaO2,and OI of the study group were significantly higher than those of the control group,and PaCO2 was significantly lower than those of the control group,with statistical significance(P<0.05).The treatment effective rate(88.57%)and pathogen clearance rate(80.00%)of the study group were higher than those of the control group(71.43%)and pathogen clearance rate(54.29%),with statistically significant differences(P<0.05).Conclusion Ceftazidime-avibactam has an improving effect on lung function and blood gas analysis indicators in acquired pneumonia after kidney transplantation,enhancing treatment efficacy.

kidney transplantationacquired pneumoniaceftazidime-avibactam

李明

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郑州人民医院 器官移植科,河南 郑州 450000

肾移植 获得性肺炎 头孢他啶-阿维巴坦

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(1)
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