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多索茶碱联合头孢他啶对慢性阻塞性肺疾病合并感染患者的临床疗效、药物安全性及预后的影响。

Effects of Doxofylline Combined with Ceftazidime on Clinical Efficacy, Drug Safety, and Prognosis in Patients with Chronic Obstructive Pulmonary Disease Complicated with Infection.

机构信息

Department of Geriatric, Inner Mongolia BaoGang Hospital, Baotou, Inner Mongolia, China (mainland).

出版信息

Med Sci Monit. 2021 Aug 18;27:e930494. doi: 10.12659/MSM.930494.

Abstract

BACKGROUND The aim of this study was to investigate the effects of doxofylline combined with ceftazidime on clinical efficacy, drug safety, and prognosis in patients with COPD complicated with infection. MATERIAL AND METHODS A total of 450 patients admitted to the Inner Mongolia BaoGang Hospital for treatment of COPD from January 2017 to December 2019 were selected to participate. All patients were randomly divided into control and observation groups, with 225 patients in each group. In addition, patients with COPD in the remission stage were matched by sex and age for a blank control group. The control group was treated with doxofylline, and the observation group was treated with ceftazidime and doxofylline. No drug intervention was given to the blank control group. Short-term efficacy, pulmonary ventilation function, patient quality of life, peripheral blood TNF-alpha and PGDF-B levels, and adverse drug reactions were observed. RESULTS The effective treatment rate in the observation group was 96.89%, which was significantly higher than that in the control group (84.00%). Measures of pulmonary ventilation function and patient quality of life in the observation group were significantly higher than those in the control group. Levels of TNF-alpha and PDGF-B in the observation group were significantly lower than those in the control group. There were no significant differences in the above indicators between the blank control group and the observation group. CONCLUSIONS Doxofylline combined with ceftazidime effectively treated patients with COPD complicated with infection. These results provide a reference for clinical treatment.

摘要

背景

本研究旨在探讨多索茶碱联合头孢他啶对 COPD 合并感染患者的临床疗效、药物安全性和预后的影响。

材料与方法

选取 2017 年 1 月至 2019 年 12 月内蒙古包钢医院收治的 450 例 COPD 患者作为研究对象,采用随机数字表法将患者分为对照组和观察组,每组 225 例。另选取同期在我院治疗的缓解期 COPD 患者作为空白对照组,每组 225 例。对照组患者给予多索茶碱治疗,观察组患者给予头孢他啶联合多索茶碱治疗,空白对照组患者不给予药物干预。观察三组患者的短期疗效、肺通气功能、患者生活质量、外周血 TNF-α及 PDGF-B 水平及不良反应发生情况。

结果

观察组患者的治疗总有效率为 96.89%,显著高于对照组的 84.00%。观察组患者的肺通气功能指标和患者生活质量评分均显著高于对照组,外周血 TNF-α及 PDGF-B 水平显著低于对照组。空白对照组患者的上述各项指标与观察组患者比较,差异均无统计学意义。

结论

多索茶碱联合头孢他啶治疗 COPD 合并感染患者的疗效确切,为临床治疗提供了参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2f7/8381755/399321f9c44f/medscimonit-27-e930494-g001.jpg

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