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[克林霉素与奈替米星用于预防上呼吸道和消化道癌症患者术后伤口感染]

[The use of clindamycin and netilmicin for preventing postoperative wound infection in patients with cancer of the upper respiratory and digestive tracts].

作者信息

Dmitrieva N V, Petukhova I N, Borisova O K, Alferov V S, Uvarov A A, Akhundov A A, Kuznetsov M K

出版信息

Ter Arkh. 1993;65(10):55-8.

PMID:8296236
Abstract

Clindamycin (2.7 g/day) and netilmicin (5.6 mg/kg) were used for 6-10 days in 27 patients with laryngeal and oral cancer versus beta-lactam antibiotics and aminoglycosides received by 56 matched patients to prevent infection of the operative wound. Suppuration was observed in 11.1 and 41.4% of the patients, respectively (p < 0.05), the temperature rose over 38 degrees C in 22.2% and 42.9% of the patients, respectively (p < 0.05). The regimens showed similar toxicity. The findings proved high efficacy of clindamycin combination with netilmicin in infection prophylaxis in patients operated on for upper respiratory and digestive tract cancer.

摘要

27例喉癌和口腔癌患者使用克林霉素(2.7克/天)和奈替米星(5.6毫克/千克)治疗6 - 10天,56例匹配患者接受β-内酰胺类抗生素和氨基糖苷类药物治疗以预防手术伤口感染。分别有11.1%和41.4%的患者出现化脓(p < 0.05),分别有22.2%和42.9%的患者体温升至38摄氏度以上(p < 0.05)。两种治疗方案显示出相似的毒性。研究结果证明克林霉素与奈替米星联合使用在预防上呼吸道和消化道癌症手术患者感染方面具有高效性。

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