首页|哌拉西林他唑巴坦治疗COPD合并下呼吸道感染对CRP、PCT水平的影响

哌拉西林他唑巴坦治疗COPD合并下呼吸道感染对CRP、PCT水平的影响

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目的 探析哌拉西林他唑巴坦治疗慢性阻塞性肺疾病(COPD)合并下呼吸道感染的效果。方法 选择2020年8-2023年5月苏州市吴中人民医院收治的60例COPD合并下呼吸道感染患者作为本次的研究对象,按照单双法分成对照组和观察组,每组30例。对照组给予头孢他啶治疗,观察组则予以哌拉西林他唑巴坦治疗。连续治疗14d后,就两组的治疗总有效情况、炎症因子指标、呼吸困难和健康状况、肺部功能指标、不良反应发生情况展开比较。结果 观察组的治疗总有效率、肺功能指标(FEV1、FVC、FEV1/FVC)高于对照组,炎症因子指标(CRP、PCT)及mMRC、APACHEⅡ等评分都比对照组更低(P<0。05)。两组的不良反应发生率比较,一致性比较好(P>0。05)。结论 对COPD合并下呼吸道感染患者给予哌拉西林他唑巴坦治疗可取得较好的效果,患者的CRP、PCT等指标明显下降,患者的肺部功能有效提升,值得在临床广泛应用和推广。
Effect of Piperacillin Tazobactam on CRP and PCT Levels of COPD Complicated with Lower Respiratory Tract Infections
Objective To explore effect of piperacillin tazobactam in treatment of chronic obstructive pulmonary disease(COPD)with lower respiratory tract infections.Methods The paper chose 60 COPD patients with lower respiratory tract infections admitted to Suzhou City Wuzhong People's Hospital from August 2020 to May 2023 as study subjects,and divided them into control group and observation group with single pair method,with 30 cases per group.Control group was treated with ceftazidime,while observation group with piperacillin tazobactam.After 14 days of continuous treatment,total treatment effectiveness,inflammatory factor indicators,respiratory distress and health status,lung function indicators,and incidence of adverse reactions were compared between two groups.Results Total effective rate and lung function indicators(FEV1,FVC,FEV1/FVC)of observation group were higher than control group.Inflammatory factor indicators(CRP,PCT)and mMRC,APACHE Ⅱ scores were lower than control group(P<0.05).Incidence of adverse reactions between two groups showed good consistency(P>0.05).Conclusion Piperacillin tazobactam can achieve good effect for COPD patients with lower respiratory tract infections,reduce CRP,PCT and other indicators of patients significantly,improve lung function effectively,which is worthy of wide application and promotion in clinical practice.

Piperacillin tazobactamCOPDLower respiratory tract infectionCRPPCTEffect

冯晨晨

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苏州市吴中人民医院 呼吸科,江苏 苏州 215000

哌拉西林他唑巴坦 COPD 下呼吸道感染 CRP PCT 效果

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(4)
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