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目的 :了解老年呼吸系统感染性疾病抗生素应用现状。方法 :收集一组老年呼吸系统感染住院患者临床资料进行分析。结果 :常见为上呼吸道感染 (36 .78% )、慢性支气管炎急性发作 (41.78% )、肺炎 (16 .0 9% )等。首选抗生素依次为 :青霉素 (5 0 .5 7% )、氨苄青霉素 (2 0 .6 9% )、头孢唑啉 (16 .0 9% )、林可霉素 (12 .6 4% )。有效率 81.6 % )。治疗后体温、血象 2 - 5天恢复正常 ,胸片阴影吸收需 2 0天。结论 :上述几种抗生素疗效好、相近。应用抗生素起点不宜过高 ,一般不必联合用药。老年人由于免疫功能衰退 ,组织炎症吸收缓慢 ,故不能以炎症完全吸收作为停药标准。
Objective: To understand the current status of antibiotics used in respiratory diseases in the elderly. Methods: A group of hospitalized patients with senile respiratory infection were collected for clinical data analysis. Results: Common upper respiratory tract infection (36.78%), acute exacerbation of chronic bronchitis (41.78%), pneumonia (16.9%) and so on. The preferred antibiotics were: penicillin (50.07%), ampicillin (20.99%), cefazolin (16.9%) and lincomycin (12.64%). Effective rate of 81.6%). After treatment, body temperature, blood 2 to 5 days to return to normal, chest shadow absorption required 20 days. Conclusion: The above antibiotics have good curative effect and are similar. Application of antibiotics starting point should not be too high, generally do not need combination therapy. Elderly due to the decline of immune function, tissue inflammation absorption is slow, it can not completely absorb the inflammation as a stopping criterion.