首页|头孢噻肟联合丙种球蛋白治疗新生儿败血症的疗效评价

头孢噻肟联合丙种球蛋白治疗新生儿败血症的疗效评价

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目的 评价头孢噻肟联合丙种球蛋白治疗新生儿败血症的疗效.方法 将2014年4月~2017年4月入住本院的88例患有败血症新生儿随机分为2组:观察组与对照组,各44例.对照组采用对症治疗+头孢噻肟,观察组采用对症治疗+头孢噻肟+丙种球蛋白.治疗7 d后,比较2组患儿治疗总有效率、病死率、临床症状(体温、拒奶、神经系统症状)改善时间及住院时间.结果 观察组总有效率95.45%,较对照组72.73%明显提高(P<0.01).观察组病死率和对照组相比显著降低(2.27%vs18.19%)(P<0.05).观察组体温改善时间(3.25±1.07)d,拒奶改善时间(4.93±1.96)d,神经系统症状改善时间(5.92±1.58)d,住院时间(6.80±1.94)d,均显著低于对照组(P<0.01).结论 头孢噻肟联合丙种球蛋白对新生儿败血症有较好疗效,且能有效降低病死率,缩短临床症状改善时间与住院时间.
The evaluation of the clinical efficacy of cefotaxime combined with gamma globulin on neonatal septicemia
Objective To evaluate the clinical efficacy of cefotaxime combined with gamma globulin on neonatal septicemia. Methods The subjects of this study were selected from 88 cases of neonatal septicemia admitted in Jiangyou No.903 hospital from April 2014 to April 2017. They were randomly divided into two groups, each with 44 cases. The control group was given symptomatic treatment and cefotaxime, while the observation group symptomatic treatment, cefotaxime and gamma globulin as well. After 7days of treatment, the overall effective rates, case fatality rates, clinical symptoms (body temperature, resistance to milk, neurological symptoms), time for improvement and hospital stay were compared between the two groups. Results The overall effective rate of the observation group was 95.45%, much higher than 72.73% of the control group (P<0.01). The observation group had much lower case fatality rate than the control group did (2.27% vs 18.19%) (P<0.05). The time the observation group took for improvement in the condition of body temperature, resistance to milk, neurological symptoms, and hospital stay was (3.25±1.07) days, (4.93±1.96) days, (5.92±1.58) days, and (6.80±1.94) days respectively, all significantly shorter than the time the control group took (P<0.01). Conclusion The combination of cefotaxime and gamma globulin is effective in the treatment of neonatal septicemia. It can significantly reduce case fatality rate and shorten the time for clinical symptoms and hospital stay.

cefotaximegamma globulinneonatal septicemia

赵波、杜雪梅

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四川省江油市九〇三医院 儿科,四川 江油 621700

头孢噻肟 丙种球蛋白 新生儿败血症

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):2017.37(9)
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