首页|左氧氟沙星与阿莫西林克拉维酸钾治疗社区获得性肺炎的临床效果对比

左氧氟沙星与阿莫西林克拉维酸钾治疗社区获得性肺炎的临床效果对比

Comparative study of levofloxacin and amoxicillin clavulanate potassium in the treatment of community-acquired pneumonia

扫码查看
目的 对比左氧氟沙星与阿莫西林克拉维酸钾治疗社区获得性肺炎的临床效果.方法 选择 2023 年 1 月~2023 年 12 月 164例社区获得性肺炎住院患者进行研究,根据抗菌药物治疗方案不同分为A、B组.两组均予以祛痰止咳对症处理,在此基础上A组采用左氧氟沙星治疗,B组采用阿莫西林克拉维酸钾治疗.比较两组患者整体疗效、治疗前后炎症指标变化、临床症状恢复正常时间及药物不良反应发生率.结果 A组的治疗总有效率 97.56%,较B组 89.02%高(χ2=4.775,P=0.029).两组治疗后的CRP、PCT、WBC、NEU%值较治疗前明显降低,且A组各项炎症指标显著低于B组(P<0.05).A组退热时间、咳嗽、咳痰消退时间较B组短(P<0.05).A组的药物不良反应发生率 2.44%,与B组 3.66%相比,差异无统计学意义(χ2=0.206,P=0.650).结论 与阿莫西林克拉维酸钾相比,左氧氟沙星在社区获得性肺炎治疗中更具临床优势,能够更好控制炎症,缩短病程,且安全性良好.
Objective To compare the clinical effects of levofloxacin and amoxicillin clavulanate potassium in the treatment of communi-ty-acquired pneumonia.Methods A total of 164 hospitalized patients with community-acquired pneumonia from January 2023 to December 2023 were selected for this study.They were divided into group A and group B according to different antimicrobial treatment regiments.Both groups were treated symptomatically with expectorant and cough-relief measures.On this basis,group A was treated with levofloxacin,and group B was treated with amoxicillin and clavulanate potassium.The overall efficacy,the changes of inflammatory indexes before and after treatment,the recovery time of clinical symptoms and the incidence of adverse drug reactions were compared between the two groups.Results The total effective rate of treatment in group A was 97.56%,which was higher than 89.02%in group B(χ2=4.775,P=0.029).The values of CRP,PCT,WBC and NEU%after treatment in the two groups were significantly lower than before treatment,and the inflammatory indexes in group A were significantly lower than those in group B(P<0.05).The disappearance time of fever,cough and expectoration in group A was shorter than that in group B(P<0.05).The incidence rate of adverse drug reactions in group A was 2.44%,compared with 3.66%in group B,there was no significant difference(χ2=0.206,P=0.650).Conclusion Compared with amoxicillin clavulanate potassium,levofloxacin has more clinical advantages in the treatment of community-acquired pneumonia,can better control inflammation,shorten the course of disease,and has good safety.

Community acquired pneumoniaLevofloxacinAmoxicillin clavulanate potassium

陈木娟、胡安美

展开 >

深圳市宝安区中心医院药剂科,广东 深圳 518103

深圳市宝安区中心医院呼吸与危重症医学科,广东 深圳 518103

社区获得性肺炎 左氧氟沙星 阿莫西林克拉维酸钾

2024

中国处方药
南方医药经济研究所

中国处方药

影响因子:0.649
ISSN:1671-945X
年,卷(期):2024.22(12)
  • 1