首页|头孢哌酮舒巴坦钠与哌拉西林他唑巴坦钠治疗老年重症肺炎的疗效和成本比较

头孢哌酮舒巴坦钠与哌拉西林他唑巴坦钠治疗老年重症肺炎的疗效和成本比较

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目的 分析头孢哌酮舒巴坦钠/哌拉西林他唑巴坦钠治疗老年重症肺炎的临床效果及对患者短期预后、临床症状及细菌清除率的影响。方法 根据治疗方法将在2019年3月至2021年3月于河南省登封嵩正中医院就诊的120例老年重症肺炎患者分为对照组(60例)和观察组(60例)。入院后2组均施以退热、止咳、平喘等基础治疗。对照组加用注射用头孢哌酮钠舒巴坦钠,观察组在基础对症治疗的基础上联合注射用哌拉西林他唑巴坦钠,所有患者均连续治疗2周。比较2组患者临床疗效、临床症状消失时间、细菌清除率及治疗成本。结果 观察组患者药品成本高于对照组(P<0。05)。2组患者临床疗效、各临床症状消失时间、单株细菌清除率与细菌总清除率以及检查、住院和总成本比较差异均无统计学意义(P>0。05)。结论 头孢哌酮舒巴坦钠/哌拉西林他唑巴坦钠对老年重症肺炎均具有疗效,但哌拉西林他唑巴坦钠的药品成本更高,头孢哌酮舒巴坦钠更具经济学优势。
Comparison of efficacy and cost between cefoperazone-sulbactam sodium and piperacillin-tazobactam sodium in the treatment of elderly patients with severe pneumonia
Objective To investigate the clinical effects of cefoperazone-sulbactam sodium and piperacillin-tazobactam sodium in elderly patients with severe pneumonia,as well as their impact on short-term prognosis,clinical symptoms,and bacterial clearance rates.Methods According to treatment method,a total of 120 elderly patients with severe pneumonia who visited Dengfeng Songzheng Traditional Chinese Medicine Hospital from March 2019 to March 2021 were divided into a control group(60 cases)and a observation group(60 cases).After admission,both groups of patients received basic treatments such as fever reduction,cough relief,and asthma relief.The control group was treated with cefoperazone-sulbactam sodium injection in addition to the basic symptomatic treatment,while the observation group received piperacillin-tazobactam sodium injection in addition to the basic symptomatic treatment.All patients were treated continuously for 2 weeks.The clinical efficacy,disappearance time of clinical symptoms,bacterial clearance rate,and treatment cost were compared between the two groups.Results The cost of drugs in the observation group was significantly higher than that in the control group(P<0.05).There were no statistically significant differences in clinical efficacy,disappearance time of various clinical symptom,single bacterial clearance rate,total bacterial clearance rate,as well as examination,hospitalization and total costs between the two groups(P>0.05).Conclusion Both cefoperazone-sulbactam sodium and piperacillin-tazobactam sodium demonstrate significant therapeutic effects on elderly patients with severe pneumonia.However,the cost of piperacillin-tazobactam sodium is higher,while cefoperazone-sulbactam sodium has more economic advantages.

AgedPneumoniaCefoperazone-sulbactam sodiumPiperacillin-tazobactam sodiumProg-nosisEconomics,pharmaceutical

孙向娜、王智峰

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登封嵩正中医院内科,河南登封 452400

老年人 肺炎 头孢哌酮舒巴坦钠 哌拉西林他唑巴坦钠 预后 经济学,药学

2024

中国药物与临床
中国医院协会

中国药物与临床

影响因子:0.846
ISSN:1671-2560
年,卷(期):2024.24(1)
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