摘要
目的分析降阶梯抗生素药物治疗方案实施在老年重症肺炎患者临床治疗过程中的意义。方法方便选取2018年3月—2019年11月该医院治疗的62例老年重症肺炎患者实施数据指标项目研究,选择随机双盲方式开展分组研究,每组31例,实验组采用降阶梯抗生素药物治疗方案,参比组采用传统抗生素药物治疗方案,总结抗生素药物治疗有效统计数、咳嗽消除所用时长、啰音消除所用时长。结果实验组抗生素药物治疗有效统计数(96.77%)对比参比组(77.42%)增加(χ^2=5.166,P=0.023<0.05);实验组咳嗽消除所用时长、啰音消除所用时长[(11.56±2.50)d、(10.20±1.35)d]对比参比组[(15.40±3.12)d、(14.69±2.30)d]减少(t=5.347、9.373,P=0.000、0.000<0.05)。结论为老年重症肺炎患者选用降阶梯抗生素药物治疗方案表现出较好用药效果。
Objective To analyze the significance of de-escalation antibiotic therapy in the clinical treatment of elderly patients with severe pneumonia.Methods A data index project study was carried out on 62 elderly patients with severe pneumonia treated convenient selection in the hospital from March 2018 to November 2019.Random double-blind group research was carried out on the above cases,and 31 cases in each group.The experiment group was treated with de-escalation antibiotics,and the reference group was treated with traditional antibiotics.The effective statistics of antibiotic treatment,the time taken to eliminate cough,and the time taken to eliminate rales were summarized.Results The effective statistics of antibiotic treatment in the experimental group(96.77%)increased compared with in the reference group(77.42%)(χ~2=5.166,P=0.023<0.05);the time used to eliminate cough and rale in the experimental group[(11.56±2.50)d,(10.20±1.35)d];the comparison reference group[(15.40±3.12)d,(14.69±2.30)d]decreased(t=5.347,9.373,P=0.000,0.000<0.05).Conclusion The selection of de-escalation antibiotics for elderly patients with severe pneumonia shows a good drug effect.
作者
张金英
ZHANG Jin-ying(Department of Critical Care Medicine,People's Hospital of Ningjin County,Dezhou,Shandong Province,253400 China)
出处
《中外医疗》
2020年第24期23-24,28,共3页
China & Foreign Medical Treatment
关键词
降阶梯抗生素方案
老年
重症肺炎
De-escalation antibiotic regimen
Elderly
Severe pneumonia
