CAJ | 학술논문

目的探讨上呼吸道感染者合理应用抗生素的临床疗效情况.方法选取本院在2009年11月~2011年1月期间收治的存在细菌感染上呼吸道患者286例,全部进行常规对症治疗,同时给予合理抗生素治疗,对本组患者的临床资料进行回顾性总结分析.结果单用一种抗生素治疗102例(占35.66%),二联治疗157例(占54.89%),三联治疗27例(占9.44%),没有四联或以上治疗病例;本组抗生素治疗使用主要涉及到5大类17种抗生素,使用频度最高的前5位抗生素为青霉素、阿莫西林、氨苄西林、头孢克洛、阿奇霉素;主要给药方式为静脉治疗和口服治疗,其中静脉给药治疗209例(占73.08%),口服给药77例(占26.92%).本组疗效优133例(占46.50%),疗效良144例(占50.35%),疗效中8例(占2.8%),疗效差1例(占0.35%),疗效优良率96.85%.结论门诊治疗上呼吸道感染患者,在常规对症的基础上,根据患者的实际感染情况给予合理抗生素治疗可以缩短治疗时间,具有显著的临床疗效,值得推广.
목적탐토상호흡도감염자합리응용항생소적림상료효정황.방법선취본원재2009년11월~2011년1월기간수치적존재세균감염상호흡도환자286례,전부진행상규대증치료,동시급여합리항생소치료,대본조환자적림상자료진행회고성총결분석.결과단용일충항생소치료102례(점35.66%),이련치료157례(점54.89%),삼련치료27례(점9.44%),몰유사련혹이상치료병례;본조항생소치료사용주요섭급도5대류17충항생소,사용빈도최고적전5위항생소위청매소、아막서림、안변서림、두포극락、아기매소;주요급약방식위정맥치료화구복치료,기중정맥급약치료209례(점73.08%),구복급약77례(점26.92%).본조료효우133례(점46.50%),료효량144례(점50.35%),료효중8례(점2.8%),료효차1례(점0.35%),료효우량솔96.85%.결론문진치료상호흡도감염환자,재상규대증적기출상,근거환자적실제감염정황급여합리항생소치료가이축단치료시간,구유현저적림상료효,치득추엄.
Objective To explore the upper respiratory tract infection reasonable application of the clinical efficacy of antibiotics. Methods select admitted to hospital in November 2009~2011 January presence of bacterial infection to the upper respiratory tract in patients with 286 cases, al of the conventional symptomatic treatment, while giving reasonable antibiotic therapy were retrospectively analyzed clinical data of the patients in this group. Results Single-use an antibiotic treatment of 102 cases(35.66%), the the bivalent treatment of 157 cases (54.89%),triple therapy in 27 patients(9.44%), quadruple or more treatment of cases; antibiotic treatment use mainly related to the five major categories of 17 kinds of antibiotics, use the highest frequency of the first five antibiotics penicil in, amoxicil in, ampicil in, cefaclor, azithromycin;major mode of administration of intravenous therapy and oral therapy, including intravenous administration treatment of 209 cases (73.08%), the oral administration of 77 cases (26.92%). The excel ent efficacy of 133 cases (46.50%) the efficacy Liang 144 cases (50.35%), efficacy in 8 cases(2.8%), poor efficacy one cases (0.35%), good clinical efficacy rate was 96.85%. Conclusion Outpatient treatment of respiratory tract infection in patients on the basis of conventional symptomatic to give reasonable antibiotic treatment according to the patient's actual infection can shorten the duration of treatment, and has significant clinical efficacy, worthy of promotion.