首页|哌拉西林他唑巴坦钠联合莫西沙星治疗老年轻型肺炎患者对临床症状改善的影响研究

哌拉西林他唑巴坦钠联合莫西沙星治疗老年轻型肺炎患者对临床症状改善的影响研究

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目的 探究哌拉西林他唑巴坦钠与莫西沙星联合应用在老年轻型肺炎患者中的治疗价值.方法 将洛阳市中心医院 2023 年 1 月至 2023 年 12 月收治的 80 例老年轻型肺炎患者作为研究对象,根据随机数字表法将其分为两组,对照组 40 例实施莫西沙星治疗,实验组 40 例实施哌拉西林他唑巴坦钠联合莫西沙星治疗,对比两组患者治疗效果、临床症状(气促、肺啰音与咳嗽)改善情况、炎性因子[白细胞介素-6(IL-6)、肿瘤坏死因子(TNF-α)与C反应蛋白(CRP)]水平、肺功能指标[用力肺活量(FVC)、第 1 秒用力呼气容积(FEV1)与一秒钟用力呼气容积与用力肺活量的比值(FEV1/FVC)]与不良反应发生情况.结果 实验组治疗有效率高于对照组,差异具有统计学意义(P<0.05).实验组咳嗽、肺啰音与气促缓解时间短于对照组,差异具有统计学意义(P<0.05).治疗后,两组炎性因子水平较前均下降,肺功能指标水平均升高,其中实验组炎性因子水平低于对照组,肺功能指标水平高于对照组,差异具有统计学意义(P<0.05).两组不良反应发生率相比差异无统计学意义(P>0.05).结论 老年轻型肺炎患者采用哌拉西林他唑巴坦钠联合莫西沙星治疗,可提高治疗效果,缩短临床症状改善时间,降低炎性因子水平,提高肺功能指标水平,安全可靠,值得临床应用.
Study on the Impact of Piperacillin Tazobactam Sodium Combined with Moxifloxacin on the Improvement of Clinical Symptoms in Elderly Patients with Mild Pneumonia
Objective To explore the therapeutic value of piperacillin tazobactam sodium combined with moxifloxacin in elderly patients with mild pneumonia.Methods 80 elderly patients with mild pneumonia admitted to Luoyang Central Hospital from January 2023 to December 2023 were selected as the research subjects.According to the random number table method,they were divided into two groups.The control group of 40 patients was treated with moxifloxacin,and the experimental group of 40 patients was treated with piperacillin tazobactam sodium combined with moxifloxacin.The treatment effects,clinical symptoms(shortness of breath,lung rales,and cough)improvement,inflammatory factors[Interleukin-6(IL-6),Tumor Necrosis Factor(TNF-α),and C-reactive protein(CRP)]levels,lung function indicators[Forced Vital Capacity(FVC),Forced Expiratory Volume in the first second(FEV1),and the ratio of Forced Expiratory Volume in one second to Forced Vital Capacity(FEV1/FVC)],and adverse reactions were compared between the two groups.Results The effective rate of treatment in the experimental group was higher than that in the control group,and the difference was statistically significant(P<0.05).The time for the relief of cough,lung rales,and shortness of breath in the experimental group was shorter than that in the control group,and the difference was statistically significant(P<0.05).After treatment,the levels of inflammatory factors in both groups decreased,and the lung function indicators increased.Among them,the level of inflammatory factors in the experimental group was lower than that in the control group,and the lung function indicators were higher than those in the control group.The difference was statistically significant(P<0.05).The incidence of adverse reactions in the two groups was not statistically significant(P>0.05).Conclusion The treatment of elderly patients with mild pneumonia using piperacillin tazobactam sodium combined with moxifloxacin can improve the treatment effect,shorten the time for the improvement of clinical symptoms,reduce the level of inflammatory factors,improve the level of lung function indicators,and is safe and reliable,and is worth using in clinical practice.

piperacillin tazobactam sodiummoxifloxacinpneumoniainflammatory factors

卜巧云、王静

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洛阳市中心医院 老年医学科,河南 洛阳 471000

哌拉西林他唑巴坦钠 莫西沙星 肺炎 炎性因子

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(7)