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磷霉素钠联合头孢哌酮/舒巴坦治疗下呼吸道感染疗效观察
Clinical Observation of the Effect of Fosfomycin Sodium Combined with Cefoperazone Sodium and Sulbactam Sodium in Treating Lower Respiratory Tract Infection
  
DOI:
中文关键词:  磷霉素钠  头孢哌酮钠/舒巴坦钠  下呼吸道感染  疗效
英文关键词:Fosfomycin Sodium  Cefoperazone Sodium and Sulbactam Sodium  Lower respiratory tract infection  Curative effect
基金项目:
作者单位
李勇 解放军第201医院(辽宁辽阳 111000) 
陆春苓  
宁博  
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中文摘要:
      摘 要 目的:观察磷霉素钠联合头孢哌酮钠/舒巴坦钠治疗下呼吸道感染的疗效与安全性。方法:79例下呼吸道感染住院患者按入院顺序分为两组,观察组给予磷霉素钠注射剂4.0 g, ivd qd, 给药后1h给予头孢哌酮钠/舒巴坦钠注射剂2.0 g, ivd bid;对照组单独应用头孢哌酮钠/舒巴坦钠注射剂2.0 g,ivd bid。两组疗程均为7~14 d,比较两组有效率、细菌清除率及不良反应情况。结果:观察组有效率和细菌清除率分别为92.50%和85.71%,对照组分别为74.35%和62.96%,两组比较,差异均有统计学意义(P<0.05);两组不良反应发生率分别为2.50%和2.56%,差异无统计学意义(P>0.05)。结论:磷霉素钠联合头孢哌酮钠/舒巴坦钠治疗下呼吸道感染,疗效优于单用头孢哌酮钠/舒巴坦钠,且安全性良好,值得临床推广应用。
英文摘要:
      ABSTRACT Objective:To observe the curative effect and security of fosfomycin sodium injection combined with cefoperazone sodium and sulbactam sodium injection in treating lower respiratory tract infection. Methods:79 cases of lower respiratory tract infection were divided into two groups randomly. The treatment group were given fosfomycin sodium injection 4.0g by ivd within 1-2h. 1 hours after administration, cefoperazone sodium and sulbactam sodium injection were given 2.0g by ivd within 30 60min,2 times per day, and the period of treatment was 7-14d. The controlled group were given cefoperazone sodium and sulbactam sodium injection 2.0gby ivd, 2 times per day, the period of treatment was 7-14d. The efficacy, bacterial clearance rate and adverse reaction of the two groups were observed. Results:The effective rates and bacteria elimination rates of the treatment groups were 92.5%and 85.7% respectively and74.35%, and 62.96% respectively in the controlled group. Significant differences were found through comparison between the two groups(P<0.05); The incidence of adverse reactions were 2.50% and 2.56% respectively, No significant differences were found between the two groups (P>0.05).Conclusion:The curative effect of fosfomycin sodium injection combined with cefoperazone sodium and sulbactam sodium injection in treating lower respiratory tract infection was better than that of single cefoperazone sodium and sulbactam sodium injection, and the good security was worthy of clinical application.
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