α</sub>∝α<sub>β</sub> -羥丁酸脫氫酶)、炎癥因子及免疫指標(biāo)(C反應(yīng)蛋白、降鈣素原、CD40配體、血管細(xì)胞黏附分子-1)、急性生理學(xué)與慢性健康狀況評(píng)分。結(jié)果治療后,研究組臨床癥狀消失時(shí)間均顯著短于對(duì)照組( P<0.05 );兩組肺功能指標(biāo)均升高、心肌損傷標(biāo)志物水平均降低、炎癥因子及免疫指標(biāo)均降低、急性生理學(xué)與慢性健康狀況評(píng)分均降低,且研究組均優(yōu)于對(duì)照組( P<0.05 )。結(jié)論氨溴索與頭孢哌酮鈉舒巴坦鈉的聯(lián)合使用在治療老年重癥肺炎患者中,較單獨(dú)使用頭孢哌酮鈉舒巴坦鈉更能有效縮短臨床癥狀消失時(shí)間,改善肺功能及降低心肌損傷標(biāo)志物和炎癥因子水平,從而促進(jìn)患者快速恢復(fù)。-龍?jiān)雌诳W(wǎng)" />

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氨溴索與頭孢哌酮鈉舒巴坦鈉聯(lián)合治療 老年重癥肺炎的臨床療效

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[Abstract]ObjectiveToinvestigatetheclinicalefcacyof ambroxolcombined withcefoperazonesodiumandsulbactam sodiumithetreatmentof elderlypatientswithseverepneumonia.MethodsAtotalof1elderlypatients withseverepneumoiaadmited to our hospital from January 2O22 to December 2O23 were selected and divided into study group ( n=50 ,treated with ambroxol combined with cefoperazone sodium sulbactam sodium)and control group( n=50 ,treated with cefoperazone sodium sulbactam sodium)accordingtoandomumbertable.After2weeksoftreatmentthetetodisappearanceofclinicalsymptoms,pulmonaryfunction (forcedexpiratoryumeincond,forcedvitalcaacitymaiummd-expiratoryflopeakepiratoryflowrate),ocadialin jurymarkers(N-terminal pro-brain natriuretic peptide,creatine kinase-MB isoenzyme, α -hydroxybutyratedehydrogenase),inflammatoryfactorsandimuneprameters(reactieproten,rocalcitoinD4ligandascularcelladesionmoleule-1),ceiologyandchronichealthstatusscoreswerecomparedbetweenthetwgroups.ResultsAftertreatment,thedisappearance timeof clinical symptoms in study group was significantly shorter than that in control group ( P<0.05 );the lung function indicators increased, thelevelsofyocadialijuyarkesdecreased,theiflammatorfctorsdimuneinicatorsereasedndthcuteiology and chronic health status scores decreased in both groups,and the study group was superior to the control group( P<0.05 ). ConclusionAmbroxolcombinedwithcefoperazone sodiumandsulbactamsodium inthetreatmentofelderlypatients withseverepneumonia, comparedwithcefoperazone sodiumand sulbactamsodiumalone,can efectivelyshortenthetimetodisappearanceofclinical symptoms,mprovelungfunctionandreducemyocardialinjurymarkersandinflammatoryfactorlevels,therebypromotingrapidrecoveryof patients.

[Key words] Severe pneumonia;Ambroxol;Cefoperazone sodium and sulbactam sodium;Lung function;Clinical efficacy

重癥肺炎(Severepneumonia,SP)因高發(fā)病率、高死亡率和診治難度成為臨床關(guān)注的重點(diǎn)[1]。(剩余11024字)

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