国际流行病学传染病学杂志
國際流行病學傳染病學雜誌
국제류행병학전염병학잡지
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY AND INFECTIOUS DISEASE
2011年
3期
175-177
,共3页
郭坤%杨清松%刘宇环%张金萍%张秀英
郭坤%楊清鬆%劉宇環%張金萍%張秀英
곽곤%양청송%류우배%장금평%장수영
布鲁杆菌病%利福喷汀%多西环素%头孢他啶
佈魯桿菌病%利福噴汀%多西環素%頭孢他啶
포로간균병%리복분정%다서배소%두포타정
Brucellosis%Rifapentine%Ceftazidime%Doxycycline
目的 探讨急性和亚急性期布鲁杆菌病不同方法治疗的临床效果.方法 将76例急性和亚急性期布鲁杆菌病患者按数字表法随机分为观察组(40例)和对照组(36例).观察组给予利福喷汀、多西环素和头孢他啶;对照组给予利福平、多西环素,疗程均为6周,随访6个月.结果 观察组发热、多汗、关节痛、肝脾及淋巴结肿大等消失时间较短,与对照组相比差异有统计学意义(t=7.37、4.62、4.18、3.86,P<0.01).观察组血常规、血沉恢复及血或骨髓培养转阴时间比对照组明显缩短(t=6.39、5.42、5.78,P<0.01).临床疗效,观察组中,治愈36例,有效2例,总有效率95.00%;对照组中,治愈24例,有效4例,总有效率77.78%.两组患者总有效率比较,差异有统计学意义(x2=4.92,P<0.05).结论 急性和亚急性布鲁杆菌病病原治疗,联合应用利福喷汀、多西环素和头孢他啶疗效好,值得应用.
目的 探討急性和亞急性期佈魯桿菌病不同方法治療的臨床效果.方法 將76例急性和亞急性期佈魯桿菌病患者按數字錶法隨機分為觀察組(40例)和對照組(36例).觀察組給予利福噴汀、多西環素和頭孢他啶;對照組給予利福平、多西環素,療程均為6週,隨訪6箇月.結果 觀察組髮熱、多汗、關節痛、肝脾及淋巴結腫大等消失時間較短,與對照組相比差異有統計學意義(t=7.37、4.62、4.18、3.86,P<0.01).觀察組血常規、血沉恢複及血或骨髓培養轉陰時間比對照組明顯縮短(t=6.39、5.42、5.78,P<0.01).臨床療效,觀察組中,治愈36例,有效2例,總有效率95.00%;對照組中,治愈24例,有效4例,總有效率77.78%.兩組患者總有效率比較,差異有統計學意義(x2=4.92,P<0.05).結論 急性和亞急性佈魯桿菌病病原治療,聯閤應用利福噴汀、多西環素和頭孢他啶療效好,值得應用.
목적 탐토급성화아급성기포로간균병불동방법치료적림상효과.방법 장76례급성화아급성기포로간균병환자안수자표법수궤분위관찰조(40례)화대조조(36례).관찰조급여리복분정、다서배소화두포타정;대조조급여리복평、다서배소,료정균위6주,수방6개월.결과 관찰조발열、다한、관절통、간비급림파결종대등소실시간교단,여대조조상비차이유통계학의의(t=7.37、4.62、4.18、3.86,P<0.01).관찰조혈상규、혈침회복급혈혹골수배양전음시간비대조조명현축단(t=6.39、5.42、5.78,P<0.01).림상료효,관찰조중,치유36례,유효2례,총유효솔95.00%;대조조중,치유24례,유효4례,총유효솔77.78%.량조환자총유효솔비교,차이유통계학의의(x2=4.92,P<0.05).결론 급성화아급성포로간균병병원치료,연합응용리복분정、다서배소화두포타정료효호,치득응용.
Objective To explore the curative effects for acute and subacute brucellosis by different therapeutic methods. Methods 76 cases of acute and subacute of brucellosis patients were randomly divided into two groups (40 cases in survey group and 36 cases in control group). The patients in control group were given rifampin, doxycycline, while the survey group were given rifapentine, doxycycline and ceftazidime. All the patients were treated for 6 weeks and followed-up for 6 months. Results The symptoms of fever, hyperhidrosis, arthralgia, enlargement of lymph nodes in liver and spleen in suvey group disappeared in a short time as compared with control group, there were statistical differences(t =7.37,4.62,4.18,3.86, P< 0.01). The normalized time of routine blood, ESR and blood or bone marrow culture in survey group were significantly shorter than those in control group (t = 6.39, 5.42,5.78, P < 0.01). The total effective rate was 95.00% in survey group (36 cases were curative, 2 cases had therapeutic effects); wihle total effective rate in control group was 77.78% (24 cases were curative, 4 cases had therapeutic effects). There was a statistical significance between the two groups (x2 = 4.92, P < 0.05). Conclusions Clinical effect of rifapentine, doxycycline ceftazidime combination for acute and subacute brucellosis is good, it is worth for application.