首页|奥马环素治疗2型糖尿病合并社区获得性细菌性肺炎的临床观察

奥马环素治疗2型糖尿病合并社区获得性细菌性肺炎的临床观察

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目的 探讨奥马环素(OMC)治疗 2 型糖尿病(T2DM)合并社区获得性细菌性肺炎(CABP)患者的临床疗效。方法 回顾性收集 2022 年 8 月至 2023 年 7 月在嘉兴市第一医院住院的T2DM合并CABP患者临床资料,根据是否采用OMC治疗分为OMC组和非OMC(NOMC)组。分析比较两组患者治疗后肺部病灶吸收情况、炎症指标变化情况[白细胞计数(WBC)、C-反应蛋白(CRP)和前降钙素(PCT)]、综合指标情况[住院天数、住院总费用、3 d内血糖达标情况和糖皮质激素使用情况]和不良反应发生情况。结果 共纳入 100 例T2DM合并CABP患者,其中OMC组 36 例,NOMC组 64 例。OMC组肺部炎症吸收有效率显著高于NOMC组(P<0。05)。治疗前,两组患者WBC、CRP和PCT差异无统计学意义(P>0。05)。治疗后,两组患者WBC、CRP和PCT较治疗前均显著下降(P<0。05)。OMC组治疗后WBC、CRP、PCT水平、住院天数、住院总费用和糖皮质激素使用率明显低于NOMC组(P<0。05);而 3 d内血糖达标率显著高于NOMC组(P<0。05)。在治疗期间,所有患者均未出现严重并发症。结论 OMC治疗T2DM合并CABP有助于患者早期病情控制和康复,减轻治疗负担。
Clinical observation of omacycline in the treatment of type 2 diabetes mellitus complicated with community-acquired bacterial pneumonia
Objective To explore the clinical efficacy of omacycline(OMC)in the treatment of diabetes mellitus complicated with community-acquired bacterial pneumonia(CABP).Methods Clinical data of T2DM patients with CABP admitted to The First Hospital of Jiaxing from August 2022 to July 2023 were divided into OMC group and non-OMC(NOMC)group according to wheter they received OMC treatment or not.The absorption of pulmonary lesions after treatment,changes in inflammatory indicators[white blood cell count(WBC),C-reactive protein(C-reactive protein,CRP),and anterior calcitonin(procalcitonin,PCT)],comprehensive index[hospitalization days,total hospitalization costs,blood glucose standard within 3 d and glucocorticoid use]and the occurrence of adverse reactions were analyzed and compared.Results A total of 100 diabetes mellitus patients with CABP were included in this study,including 36 cases in OMC group and 64 cases in NOMC group.The absorption of pulmonary inflammation in the OMC group was significantly higher than that in the NOMC group(P<0.05).Before treatment,there was no statistical difference in WBC,CRP and PCT between the two groups(P>0.05).After treatment,WBC,CRP,and PCT in both groups were significantly lower than those before treatment(P<0.05).Furthermore,WBC,CRP,PCT levels,hospital stay,total hospitalization costs and glucocorticoid use rate were significantly lower in the OMC group than in the NOMC group(P<0.05).The blood glucose compliance rate within 3 d in the OMC group was significantly higher than that in the NOMC group(P<0.05).None of the patients had serious complications during the treatment period.Conclusion OMC treatment of T2DM complicated with CABP is helpful for early disease control and rehabilitation,and reduces the treatment burden.

OmacyclineType 2 diabetes mellitusCommunity-acquired bacterial pneumoniaClinical efficacyAdvese reaction

赵莉婷、夏菁、梁家敏、顾超、陶峰

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浙江中医药大学嘉兴学院联培基地(杭州 310053)

嘉兴市第一医院呼吸内科(浙江嘉兴 314000)

奥马环素 2 型糖尿病 社区获得性细菌性肺炎 临床疗效 不良反应

浙江省教育厅高等学校直属附属医院抗疫专项嘉兴市省市共建医学重点学科建设项目嘉兴市公益性研究计划

Y2020435702023-SSGJ-0022021AD30177

2024

中国药师
国家药品监督管理局高级研修学院,武汉医药(集团)股份有限公司

中国药师

CSTPCD
影响因子:0.944
ISSN:1008-049X
年,卷(期):2024.27(5)
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