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莫西沙星与异烟肼治疗老年肺结核的效果对比

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目的:对比莫西沙星与异烟肼治疗老年肺结核的效果。方法:选取 2020 年 1 月—2023 年 1 月 102 例徐州市传染病医院收治 102 例老年肺结核患者作为研究对象,按照随机数表法将其分为A组(n=51)和B组(n=51)。A组给予常规治疗+异烟肼治疗,共治疗 6 个月,其中强化期 2 个月,巩固期 4 个月;B组给予常规治疗+莫西沙星治疗,治疗 4 个月。比较两组临床疗效、血清细胞因子水平、生活质量及不良反应。结果:治疗后,B组临床总有效率高于A组,药物不良反应发生率低于A组,差异有统计学意义(P<0。05);治疗后,两组γ干扰素(IFN-γ)、白细胞介素-18(IL-18)、白细胞介素-10(IL-10)、肿瘤坏死因子-α(TNF-α)水平较治疗前降低,B组低于A组,健康调查简表(SF-36)各项评分较治疗前提高,B组高于A组,差异有统计学意义(P<0。05)。结论:莫西沙星治疗老年肺结核患者效果显著,能改善生活质量,降低炎症反应和药物不良反应发生率。
Comparison Effect of Moxifloxacin and Isoniazid in the Treatment of Senile Pulmonary Tuberculosis
Objective:To compare the effect of Moxifloxacin and Isoniazid in the treatment of senile pulmonary tuberculosis.Method:A total of 102 elderly patients with pulmonary tuberculosis who treated in Xuzhou Infectious Disease Hospital from January 2020 to January 2023 were selected as the study objects,they were divided into group A(n=51)and group B(n=51)according to random number table method.Group A was treated with routine treatment + Isoniazid for 6 months,including 2 months of intensive period and 4 months of consolidation period,group B was treated with conventional therapy + Moxifloxacin for 4 months.The clinical efficacy,serum cytokine levels,quality of life and adverse reactions were compared between two groups.Result:After treatment,the total clinical effective rate of group B was higher than that of group A,and the incidence of adverse drug reactions was lower than that of group A,the differences were statistically significant(P<0.05);after treatment,the levels of γ interferon(IFN-γ),interleukin-18(IL-18),interleukin-10(IL-10)and tumor necrosis factor-α(TNF-α)in two groups were lower than those before treatment,those in group B were lower than those in group A,and the scores of health survey summary table(SF-36)were higher than those before treatment,those in group B were higher than those in group A,and the differences were statistically significant(P<0.05).Conclusion:The effect of Moxifloxacin in the treatment of elderly patients with pulmonary tuberculosis is significant,which can improve the quality of life and reduce inflammatory reaction and the incidence of adverse drug reactions.

Pulmonary tuberculosisIsoniazidMoxifloxacin

沈琛琛、吴晓华

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徐州市传染病医院 江苏 徐州 221000

肺结核 异烟肼 莫西沙星

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(9)
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