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注射用哌拉西林/舒巴坦治疗泌尿系统感染的疗效评价
The Central Hospital of Yiyang City, Yiyang 413000, Hunan,China
  
DOI:
中文关键词:  哌拉西林/舒巴坦  美洛西林/舒巴坦  泌尿系统感染  疗效评价
英文关键词:Piperacillin/sulbactam  Mezlocillin/sulbactam  Urinary system tract infection  Evaluation of the clinical effectiveness
基金项目:
作者单位
曾跃红 益阳市中心医院(湖南益阳 413000)。 
田海清 益阳市中心医院(湖南益阳 413000)。 
郭利民 益阳市中心医院(湖南益阳 413000)。 
李伟 益阳市中心医院(湖南益阳 413000)。 
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中文摘要:
      摘 要 目的:比较哌拉西林/舒巴坦与美洛西林/舒巴坦治疗急性细菌性中重度泌尿系统感染的临床疗效,评价其有效性和安全性。方法:76例急性细菌性中重度泌尿系统感染患者随机分为试验组和对照组各38例, 分别给予哌拉西林/舒巴坦2.5 g或美洛西林/舒巴坦.5 g,溶于0.9%氯化钠注射液250 ml,ivd,q8h或q12h,1个疗程为7 d。连续治疗2个疗程后对两组临床疗效、细菌学疗效、药品不良反应等进行综合评价。结果:试验组和对照组痊愈率分别为57.9%和47.4%,总有效率分别为84.2%和78.9%。两组细菌清除率分别为89.2%和82.5%,治疗后细菌转阴率分别为89.5%和86.9%;不良反应发生率均为2.63%。两组各项评价指标比较,差异均无统计学意义(P>0.05)。结论:哌拉西林/舒巴坦对于治疗急性细菌性中重度泌尿系统感染安全有效。
英文摘要:
      ABSTRACT Objective:To evaluate of the clinical effect and safety of PIP/SBT and MEZ/SBT in the treatment of moderate and severe acute bacterial infection of the urinary system tract.Methods:76 urinary tract infection patients were randomly divided into trial drug group(PIP/SBT) and controlled drug group(MEZ/SBT) with 38 cases each, 7 days for a course of treatment. After 2 courses of treatment, their clinical bacteriological efficacy and adverse events were evaluated. Results:The cure rates of the trial drug group and controlled drug group were 57.9% and47.4%, and the total effective rates were 84.2%and 78.9%. Their bacterial clearance rates were 89.2% and 82.5%, the negative rates of bacteria after treatment were 89.5% and 86.9%, and the adverse effects rate of the two groups was 2.63%. There was no significant difference in each evaluation index(P>0.05). Conclusion:PIP/SBT had their good clinical effect and safety in the treatment of the moderate and severe acute bacterial urinary system tract infection.
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