中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
24期
43-43,45
,共2页
阿奇霉素%抗菌谱%细胞壁%酶活性
阿奇黴素%抗菌譜%細胞壁%酶活性
아기매소%항균보%세포벽%매활성
Azithromycin.Antibacterial spectrum%Cell wall%Enzyme activity
目的：探讨阿奇霉素治疗社区获得性肺炎的临床效果。方法：2013年1月-2014年1月收治社区获得性肺炎患者90例，随机分为观察组和对照组各45例。两组均给予痰热清20 mL加入5%葡萄糖注射液250 mL混合进行静滴，1次/d；磷酸可待因溶液10 mL，甘草合剂10 mL，茶碱缓释片0.1 g，3次/d，口服。观察组在此基础上给予阿奇霉素0.5 g加入250 mL的生理盐水中进行静滴，1次/d。而对照组则使用头孢呋辛钠注射液0.75 g加入5%的葡萄糖溶液中进行静滴，2次/d。两组疗程均2周，比较治疗效果。结果：观察组的治疗有效率97.8%，对照组8.08%，两组之间的差异有统计学意义(P＜0.05)。结论：阿奇霉素的抗菌谱非常广、起效快，在社区获得性肺炎治疗中的应用具有较好的效果，值得推广。
目的：探討阿奇黴素治療社區穫得性肺炎的臨床效果。方法：2013年1月-2014年1月收治社區穫得性肺炎患者90例，隨機分為觀察組和對照組各45例。兩組均給予痰熱清20 mL加入5%葡萄糖註射液250 mL混閤進行靜滴，1次/d；燐痠可待因溶液10 mL，甘草閤劑10 mL，茶堿緩釋片0.1 g，3次/d，口服。觀察組在此基礎上給予阿奇黴素0.5 g加入250 mL的生理鹽水中進行靜滴，1次/d。而對照組則使用頭孢呋辛鈉註射液0.75 g加入5%的葡萄糖溶液中進行靜滴，2次/d。兩組療程均2週，比較治療效果。結果：觀察組的治療有效率97.8%，對照組8.08%，兩組之間的差異有統計學意義(P＜0.05)。結論：阿奇黴素的抗菌譜非常廣、起效快，在社區穫得性肺炎治療中的應用具有較好的效果，值得推廣。
목적：탐토아기매소치료사구획득성폐염적림상효과。방법：2013년1월-2014년1월수치사구획득성폐염환자90례，수궤분위관찰조화대조조각45례。량조균급여담열청20 mL가입5%포도당주사액250 mL혼합진행정적，1차/d；린산가대인용액10 mL，감초합제10 mL，다감완석편0.1 g，3차/d，구복。관찰조재차기출상급여아기매소0.5 g가입250 mL적생리염수중진행정적，1차/d。이대조조칙사용두포부신납주사액0.75 g가입5%적포도당용액중진행정적，2차/d。량조료정균2주，비교치료효과。결과：관찰조적치료유효솔97.8%，대조조8.08%，량조지간적차이유통계학의의(P＜0.05)。결론：아기매소적항균보비상엄、기효쾌，재사구획득성폐염치료중적응용구유교호적효과，치득추엄。
Objective:To explore the clinical effect of azithromycin in the treatment of community acquired pneumonia.Methods:90 cases with community acquired pneumonia were selected from January 2013 to January 2014.All of the patients were given 20 ml Tan Re Qing added to 250 ml 5% Glucose Injection mixed for intravenous drip,1 time/day; 10 ml codeine phosphate solution, 10,ml mixture of liquorice,0.1 g theophylline sustained-release tablets,3 times/day orally.The observation group were given 0.5 g azithromycin added to the 250 ml saline for intravenous drip,1 time/day on the basis of the above.While the control group using 0.75 g cefuroxime sodium injection added to 5% glucose solution for intravenous drip,2 times/day.Two groups were treated for 2 weeks,and we compared the treatment effect.Results:The effective rate of the treatment group was 97.8%,and that of the control group was 8.08%.There were significant differences between the two groups(P<0.05).Conclusion:The azithromycin had a very wide antimicrobial spectrum,and simultaneously has the advantages of quick response,and the application of pneumonia in the community has a better effect,so it is worthy of promotion.
