首页|支气管扩张老龄感染患者给予阿米卡星联合支气管肺泡灌洗的临床研究

支气管扩张老龄感染患者给予阿米卡星联合支气管肺泡灌洗的临床研究

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目的 研究支气管扩张老龄感染患者给予阿米卡星联合支气管肺泡灌洗的临床疗效.方法 将浙江省温州市中西医结合医院2013年3月~2015年7月确诊并收治的支气管扩张症合并感染72例老龄患者,按照随机数字表法分为研究组和对照组,每组36人.2组均给予支气管扩张症常规干预,对照组在常规干预基础上给予头胞哌酮舒巴坦钠及氨溴索注射液静滴治疗;研究组在对照组全部治疗方案基础上实施支气管肺泡灌洗并阿米卡星局部给药治疗.对比2组主要症状体征彻底改善时间、治疗前后的血气指标变化.结果 研究组咳嗽咯痰、发热及X线肺部阴影其显著缓解时间均显著快于对照组(P<0.05).治疗后2组以上血气分析指标均比本组治疗前显著好转(P<0.05),研究组其各指标好转幅度显著优于对照组(P<0.05).结论 支气管扩张老龄感染患者给予阿米卡星联合支气管肺泡灌洗可更显著促进患者呼吸系统症状体征的改善,遏制炎症,同时使患者血气指标及呼吸功能得到更显著的恢复.
Clinical study on the treatment of patients with bronchial dilation and aging with the combination of the combination of the etimicin and bronchoalveolar lavage
Objective To study the clinical effect of the treatment of patients with bronchial dilation in the treatment of patients with the combination.MethodsWenzhou Hospital of integrated traditional Chinese and Western Medicine in March 2013~July 2015 diagnosed and treated with bronchial dilation and infection of 72 cases of elderly patients, according to the random number table method is divided into the study group and the control group, each group of 36 people.Two groups were given conventional intervention of bronchial dilation.The control group in the conventional intervention based on the given first cell risperidone sulbactam sodium and ambroxol intravenous injection treatment.The study group in the control group on the basis of the implementation of the whole treatment plan based on bronchial alveolar lavage and local administration of rice.Compared with the two groups, the main symptoms and signs of the total improvement time, blood gas indicators before and after treatment.ResultsThe study group cough sputum, fever and chest X-ray shadow the significant remission time were significantly faster than that of the control group (P<0.05).After treatment, two groups above the index of blood gas analysis were group than before treatment significantly improved (P<0.05) study group on each index improved significantly better than the control group (P<0.05).ConclusionAged bronchiectasis infection patients given according to for etimicin plus bronchoalveolar lavage can be more significant to promote the improvement of patients with respiratory symptoms and signs, curb inflammation.At the same time, the index of blood gas and respiratory function in patients with more significant.

bronchial dilationinfectionetimicinbronchoalveolar lavageaged patients

蒋龙翔、金晨慈、曾余丰

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浙江省温州市中西医结合医院呼吸内科,浙江温州325000

支气管扩张症 感染 阿米卡星 支气管肺泡灌洗 老龄患者

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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