首页|头孢类抗菌药物治疗新生儿感染性肺炎的疗效及对肠道菌落的影响

头孢类抗菌药物治疗新生儿感染性肺炎的疗效及对肠道菌落的影响

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目的 探讨头孢类抗菌药治疗新生儿感染性肺炎的疗效及肠道微生态的影响.方法 以浙江省杭州市妇产科医院收治的新生儿肺炎124例为研究对象,根据使用的抗生素不同分为头孢类组(40例)、哌拉西林组(38例)、联合用药组(46例),并以40例健康新生儿为健康组,比较3组患者临床疗效,并在治疗后5d检查4组研究对象的肠道菌属,包括肠杆菌属、类杆菌属、肠球菌属、双歧杆菌属及乳酸杆菌属.结果 头孢组治愈率82.5%,哌拉西林组81.57%,联合组89.13%,3组间比较均无显著差异;3组愈合时间依次是(5.3±0.2)d、(5.5±0.3)d、(5.2±0.3)d,组间比较无显著差异;3组肠杆菌、类杆菌、肠球菌、乳酸杆菌等均显著高于健康组,双歧杆菌低于健康组,差异均有统计学意义(P<0.05);头孢组与哌拉西林组间无显著差异.结论 头孢类抗菌药物治疗新生儿感染性肺炎较其他抗生素具有相似的临床疗效,但在一定程度上可有效改善肠道菌群失调现状,偏向于联合用药,不合理使用抗生素可加重肠道微生态菌群失调,临床治疗时需谨记.
Curative effect of cephalosporins in the treatment of neonatal infectious pneumonia and its effect on intestinal microflora
Objective To investigate the curative effect of cephalosporins in the treatment of neonatal infectious pneumonia and the effect on intestinal microflora.MethodsA total of 124 cases of neonatal pneumonia in our hospital were divided into the cephalosporin group (40cases), the piperacillin group (38 cases) and the combined treatment group (46 cases), and 40 healthy neonates were selected as healthy group.The clinical efficacy was compared.The intestinal bacterial genus of the four groups was examined on the 5th day after treatment, including Enterobacter, Bacteroides, Enterococcus, Bifidobacterium and Lactobacillus.ResultsThe cure rates of the cephalosporin group, the piperacillin group and the combined group were 82.5%, 81.57% and 89.13%, respectively.The healing time of the above three groups was (5.3±0.2) d, (5.5±0.3) d and (5.2±0.3) d, respectively.Enterobacteriaceae, Bacteroides, Enterococcus and Lactobacillus were significantly more in the above three groups than the healthy group, and Bifidobacterium was fewer than healthy group (P<0.05).There was no significant difference between the cephalosporin group and piperacillin group.ConclusionThe curative effect of cephalosporins is similar to other antibiotics in the treatment of neonatal infectious pneumonia.The former can effectively relieve alteration of intestinal flora, combined with other drugs.Irrational use of antibiotics woll increase alteration of intestinal flora.

antibioticsneonatal pneumoniaintestinal microfloraclinical curative effect

姚强、江进平、赵燕凤

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浙江省杭州市妇产科医院新生儿科,浙江杭州310008

抗菌药 新生儿肺炎 肠道菌群 临床疗效

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.(5)
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