阿奇霉素治疗慢性阻塞性肺疾病患者肺炎衣原体慢性感染

The status quo and influencing factors of vocational nursing studentsempathy

目的评价阿奇霉素治疗慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD,简称慢阻肺)合并肺炎支原体慢性感染安全性、有效性。方法 2013年2月—2014年12月,观察组与对照组各纳入患者63例,均给予基础治疗,经验性应用头孢三代、酶抑制剂等抗生素治疗,诊断为肺炎衣原体感染后,观察组给予阿奇霉素序贯治疗,对照组给予乳糖酸红霉素或喹诺酮药物治疗,对比临床疗效与相关指标。结果观察组与对照组临床疗效差异无统计学意义(P>0.05),观察组无效率0.00%低于对照组9.5%,差异具有统计学意义(P<0.05);观察组退热时间(3.0±2.1)d、感染控制时间(8.2±3.4)d,低于对照组(4.6±1.9)d、(12.5±4.0)d,差异具有统计学意义(t_(退热)=2.75,t_(感染控制)=1.84,P_(退热)=0.00、P_(感染控制)=0.03<0.05);两组均未见不良反应。结论阿奇霉素治疗COPD合并肺炎支原体慢性感染疗效较好,可加速患者康复,且不会增加不良反应发生风险。

Objeetive ：To study the status quo of vocational nursing students＇empathy. Methods： The Chinese version of the Jefferson scale of empathy was distributed to 532 nursing students from one Taian vocational college. Results ： The total score of empathy was 54 ± 106 ,the average was 89.23 ± 12. 35. The influencing factors of nursing students＇empathy are only-child and student leaders. Conclusion： Schools should to inhance the academic level of nursing students, and cultivate nursing students with high level of empathy.