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微生态制剂预防老年危重患者抗菌药相关性腹泻疗效观察
Clinical Observation of the Effect of Microecological Agents on the Prevention of Antibiotic Associated Diarrhea in Critically Ill Elder Patients
投稿时间:2011-04-27  修订日期:2011-06-30
DOI:
中文关键词:  老年危重症患者  微生态制剂  抗菌药相关性腹泻
英文关键词:Critically ill elder patients  Microecological modular  Antibiotic associated diarrhea
基金项目:
作者单位
杜伟华 广州军区武汉总医院干部病房一科 武汉 430070 
李曙平 广州军区武汉总医院干部病房一科 
李娟 广州军区武汉总医院干部病房一科 
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中文摘要:
      摘 要 目的:探讨微生态制剂对于老年危重患者抗菌药相关性腹泻的预防作用。方法:选择2004年12月~2008年12月应用抗菌药治疗的住院老年危重患者218例,根据抗感染治疗同时是否应用微生态制剂(金双歧)随机分为预防组(110例)和对照组(108例),观察两组抗菌药相关性腹泻(AAD)发生情况。结果: 预防组AAD发生13例,发生率11.82%;对照组AAD发生36例,发生率33.33%,预防组AAD发生率明显低于对照组(P<0.01)。预防组AAD发生时间(7.65±2.80)d,病程(3.17±2.85)d,对照组AAD发生时间(5.50±2.47)d,病程(5.86±2.88)d。两组比较差异有统计学意义。结论:微生态制剂(金双歧)有助于防止老年危重患者AAD发生。
英文摘要:
      ABSTRACT Objective:To investigate the preventive efficacy of microecological modular on antibiotic associated diarrhea(AAD) in critically ill elder patients. Method:208 critically ill elder patients collected from Dec. 2004 to Dec. 2008 were divided into the prevention group (110) who received their anti-infection treatment, and the controlled group (108) who were given Golden Bifid or not. Their occurrence condition of diarrhea was compared.Result:AAD occurred to 13 of the 110 elder patients in prevention with the incidence of 11.28% while AAD occurred to 36 of the 108 elder patients in the controlled group with the incidence of 33.33%(P<0.01). The mean duration of diarrhea was (7.65±2.80)d for the prevention group and (5.50±2.47)d for the controlled group. The disease courses of the two groups were respectively (3.17±2.85)d and (5.86±2.88)d. There were significant difference between the two groups in both indicators (P<0.01).Conclusion:Microecological modular (Golden Bifid) could be used to prevent AAD in critically ill elder patients effectively.
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