CAJ | 학술논문

对2005年至2007年,呼吸科收治的86例社区获得性肺炎的老年脑血管后遗症患者随机分为替卡西林-克拉维酸钾治疗组和头孢呋辛钠对照组,各43例,治疗前后行痰培养,观察治疗效果.本研究社区获得性肺炎患者以革兰阴性杆菌感染(74%)为主,其中以肺炎克雷伯杆菌(26%)和大肠埃希菌(14%)为主;治疗组与对照组治疗有效率分别为93%和72%(χ2=6.54,P<0.05),治疗后细菌清除率分别为90%和62%(χ2=6.00,P<0.05),差异均有统计学意义.说明对于老年脑血管后遗症并社区获得性肺炎患者的治疗,应用替卡西林.克拉维酸钾疗效确切.
대2005년지2007년,호흡과수치적86례사구획득성폐염적노년뇌혈관후유증환자수궤분위체잡서림-극랍유산갑치료조화두포부신납대조조,각43례,치료전후행담배양,관찰치료효과.본연구사구획득성폐염환자이혁란음성간균감염(74%)위주,기중이폐염극뢰백간균(26%)화대장애희균(14%)위주;치료조여대조조치료유효솔분별위93%화72%(χ2=6.54,P<0.05),치료후세균청제솔분별위90%화62%(χ2=6.00,P<0.05),차이균유통계학의의.설명대우노년뇌혈관후유증병사구획득성폐염환자적치료,응용체잡서림.극랍유산갑료효학절.
Eighty-six patients with community-acquired pneumonia who suffered from cerebrovascular sequelae were admitted to hospital from 2005 to 2007.Patients were randomized into ticarcillin sodium/clavulanate potassium group and cefuroxime Sodium group.Sputum culture was performed for each case before and after treatment.Gram-negative bacilli accounted for 74%of infection,and the most common pathogens were klebsiella pneumoniae(26%)and Escherichia coli(14%).The response rates in two groups were 93%and 72%,respectively(χ2=6.54,P＜0.05).Bacteria eradication rates in two groups were 90%and 62%,respectively(χ2=6.00,P＜0.05).Ticarcillin sodium and clavulanate potassium is an effective antibiotic for community-acquired pneumonia in elderly patients with cerebrovascular sequelae.