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目的观察抗生素降阶梯治疗重症监护病房(ICU)老年重症肺炎的临床效果。方法将老年重症肺炎患者60例随机分为研究组与对照组各30例,研究组采用抗生素降阶梯治疗方案,对照组采用常规抗生素治疗方案,对比2组治疗效果、住院时间、脱机困难及死亡情况。结果研究组总有效率为96.67%高于对照组的76.67%;住院时间短于对照组,脱机困难发生率及病死率均低于对照组,差异均有统计学意义(P<0.05)。结论抗生素降阶梯治疗ICU老年重症肺炎治疗效果显著,缩短了患者住院时间和感染控制时间,减少了脱机困难与死亡人数,值得在临床上推广使用。
Objective To observe the clinical effect of antibiotic descending ladder on intensive care unit (ICU) in elderly patients with severe pneumonia. Methods Sixty elderly patients with severe pneumonia were randomly divided into study group (30 cases) and control group (30 cases). In the study group, antibiotic descending ladder was used. In the control group, routine antibiotic treatment was used. The treatment effect, hospitalization time, Death situation. Results The total effective rate was 96.67% in the study group and 76.67% in the control group. The hospitalization time was shorter than that in the control group, and the incidence of offline difficulty and mortality was lower than that in the control group. The difference was statistically significant (P <0.05). Conclusions Anti-life-lowering antibiotics can significantly improve the treatment of elderly severe pneumonia in ICU, shorten the hospitalization time and infection control time, and reduce the number of off-line difficulties and deaths, which is worth to be popularized in clinic.