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阿莫西林治疗慢性支气管炎和支气管扩张的临床试验

[Clinical trial of amoxycillin in chronic bronchitis and bronchial dilatations].

作者信息

Anastasatu C, Cristea M, Gheorghiu M

出版信息

Rev Ig Bacteriol Virusol Parazitol Epidemiol Pneumoftiziol Pneumoftiziol. 1980 Jan-Mar;29(1):39-42.

PMID:6248952
Abstract

The therapeutic results were followed of amoxycilline after application in 57 cases of chronic bronchitis and bronchial dilatations that had been treated previously with antibiotics (including ampicillin--in 37 cases). The amount of amoxycilline was of 2 g per day, given in four 0,5 g doses. A total of 23,3 percent "very good" results were obtained (expectoration either disappeared completely or was reduced to 2--3 ml per day), and 40,4 percent "good" results (with expectoration down to less than one half of the initial amount). Thus in two-thirds of the cases the results were favourable. The cases that did not respond to ampicilline gave only 10,8 percent "very good" results but the "good" results represented 51,3 percent, indicating an increased efficiency of the new drug as compared with ampicilline. The serum levels of Amoxycilline (9,4 mg/ml after 2 hours, and 4,4 mg/ml after 4 hours), when a 0,5 g dose was given every 6 hours, assure a continuous and efficient bacteriostatic concentration. No significant adverse reaction were noted.

摘要

对57例慢性支气管炎和支气管扩张患者应用阿莫西林后的治疗效果进行了随访,这些患者此前曾使用过抗生素(包括氨苄西林——37例)。阿莫西林的用量为每天2克,分4次,每次0.5克给药。总共获得了23.3%的“非常好”的效果(咳痰完全消失或减少至每天2 - 3毫升),以及40.4%的“好”的效果(咳痰减少至初始量的一半以下)。因此,三分之二的病例效果良好。对氨苄西林无反应的病例仅有10.8%的“非常好”的效果,但“好”的效果占51.3%,表明与氨苄西林相比,新药的疗效有所提高。每6小时给予0.5克剂量时,阿莫西林的血清水平(2小时后为9.4毫克/毫升,4小时后为4.4毫克/毫升)可确保持续有效的抑菌浓度。未观察到明显的不良反应。

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