摘要
目的分析糖尿病合并重症肺炎应用抗生素阶梯治疗的效果。方法将研究时段设定为2018年1月—2019年6月,基于抽签法将该院收治的90例上述患者平均分为两组,对照组患者(n=45)接受常规抗生素治疗方式,为观察组患者实施抗生素阶梯治疗方案。最后对两组患者的空腹血糖水平、感染控制天数、MV天数以及住院天数进行对比分析。结果实施不同的治疗方案之后,观察组与对照组分别产生了95.56%与80.00%的总有效率,组间差异有统计学意义(P<0.05)。另外,观察组与对照组的MV天数分别为(4.42±1.23)d与(7.75±1.93)d;住院天数分别为(12.33±7.18)d与(20.51±9.54)d;感染控制天数分别为(9.66±2.53)d与(19.52±4.48)d;空腹血糖水平分别为(5.67±0.62)mmol/L与(7.22±1.13)mmol/L;由此可见两组之间差异有统计学意义(P<0.05)。结论对于糖尿病合并重症肺炎患者而言,接受抗生素阶梯治疗可促使空腹血糖水平趋近于正常值,有利于缩短治疗天数、降低治疗成本,可获得较高的治疗满意度,因此这种治疗方式具有较高的临床应用价值。
Objective To analyze the effect of antibiotic ladder treatment on diabetes combined with severe pneumonia.Methods The study period was set from January 2018 to June 2019.Based on the lottery method,90 of the above-mentioned patients admitted to the hospital were divided into two groups on average.The control group(n=45)received conventional antibiotic treatment.Antibiotic ladder treatment plan was implemented for patients in observation group.Finally,the fasting blood glucose level,the days of infection control,the number of MV days and the length of hospital stay were compared and analyzed between the two groups of patients.Results After implementing different treatment schemes,the observation group and the control group produced a total effective rate of 95.56%and 80.00%respectively,and the difference between the groups was statistically significant(P<0.05).In addition,the MV days in the observation group and the control group were(4.42±1.23)d and(7.75±1.93)d;the hospital stay days were(12.33±7.18)d and(20.51±9.54)d;the infection control days were(9.66±2.53)d and(19.52±4.48)d;fasting blood glucose levels were(5.67±0.62)mmol/L and(7.22±1.13)mmol/L,respectively;it can be seen that there was statistically significant difference between the two groups(P<0.05).Conclusion For patients with diabetes and severe pneumonia,receiving antibiotic ladder therapy can promote fasting blood glucose levels to reach normal values,which is conducive to shortening the number of days of treatment,reducing the cost of treatment,and achieving higher treatment satisfaction.It has high clinical application value.
作者
李荣府
LI Rong-fu(The First Hospital of Quanzhou,Quanzhou,Fujian Province,362000 China)
出处
《糖尿病新世界》
2020年第8期22-24,共3页
Diabetes New World Magazine
关键词
糖尿病合并重症肺炎患者
抗生素阶梯治疗
效果分析
Patients with diabetes and severe pneumonia
Antibiotic ladder therapy
Effect analysis
