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莫西沙星联合比阿培南治疗重症肺炎患者的效果

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目的:观察莫西沙星联合比阿培南治疗重症肺炎患者的效果.方法:选取 2021 年 6 月至 2023 年 6 月该院收治的 104 例重症肺炎患者进行前瞻性研究,按随机数字表法将其分为研究组与对照组各 52 例.对照组予以比阿培南治疗,研究组在对照组基础上联合莫西沙星治疗.比较两组临床疗效,治疗前后炎性因子[白细胞介素(IL)-1β、IL-18]水平、呼吸功能指标[氧合指数(OI)、肺动态顺应性(Cdyn)、呼吸做功(WOB)]水平,以及不良反应发生率.结果:研究组治疗总有效率为 94.23%(49/52),高于对照组的76.92%(40/52),差异有统计学意义(P<0.05);治疗后,两组IL-1β、IL-18 水平均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);治疗后,两组OI、Cdyn水平均高于治疗前,且研究组高于对照组,两组WOB均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P<0.05).结论:莫西沙星联合比阿培南治疗重症肺炎患者可提高治疗总有效率,改善呼吸功能指标水平,降低炎性因子水平,其效果优于单纯比阿培南治疗.
Effects of Moxifloxacin combined with Biapenem in the treatment of patients with severe pneumonia
Objective:To observe effects of Moxifloxacin combined with Biapenem in treatment of patients with severe pneumonia.Methods:A prospective study was conducted on 104 patients with severe pneumonia admitted to the hospital from June 2021 to June 2023.According to the random number table method,they were divided into study group and control group,52 cases in each group.The control group was treated with Biapenem,while the study group was treated with Moxifloxacin on the basis of that of the control group.The clinical efficacy,the levels of inflammatory factors[interleukin(IL)-1β,IL-18]and respiratory function indexes[oxygenation index(OI),dynamic compliance(Cdyn),respiratory work(WOB)]before and after the treatment,and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of treatment in the study group was 94.23%(49/52),which was higher than 76.92%(40/52)in the control group,and the difference was statistically significant(P<0.05).After the treatment,the levels of IL-1β and IL-18 in the two groups were lower than those before the treatment,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the levels of OI and Cdyn in the two groups were higher than those before the treatment,and those in the study group were higher than those in the control group;the WOB of the two groups was lower than that before the treatment,and that in the study group was lower than that in the control group;and the difference was statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups(P<0.05).Conclusions:Moxifloxacin combined with Biapenem in the treatment of the patients with severe pneumonia can improve the total effective rate of treatment,improve the levels of respiratory function indicators,and reduce the levels of inflammatory factors.Moreover,it is superior to simple Biapenem treatment.

Severe pneumoniaMoxifloxacinBiapenemInflammatory factorRespiratory functionAdverse reaction

雷建富

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信阳市人民医院药学部,河南 信阳 464000

重症肺炎 莫西沙星 比阿培南 炎性因子 呼吸功能 不良反应

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(14)