加替沙星、盐酸氨溴索联合心理干预治疗老年急性肺炎的临床观察

Clinical observation of Gatifloxacin,Ambroxol hydrochloride and psychological intervention in the treatment of senile acute pneumonia

目的分析加替沙星、盐酸氨溴索联合心理干预治疗老年急性肺炎的临床效果。方法选取奉化区爱伊美医院收治的100例老年急性肺炎为研究对象。2组患者均进行纠正电解质平衡及吸氧等对症治疗，对照组进行加替沙星、盐酸氨溴索治疗，实验组在此基础上进行心理干预措施，积极与患者进行交流和沟通，做好心理疏导工作，正确评估患者心理状态，增加患者的治疗信心和治疗依从性。结果实验组治疗有效率为92.0%，显著高于对照组有效率为84.0%（P＜0.05）。对照组中细菌清除率为60.0%，显著低于实验组的细菌清除率82.0%（P＜0.05）。2组患者不良反应发生率分别为6.0%与8.0%，差异无统计学意义。结论加替沙星、盐酸氨溴索、心理干预联用治疗老年急性肺炎的临床效果较为理想，能够显著提高细菌清除率，安全性高。

Objective To investigate the clinical efficacy of combination application of Gatifloxacin,Ambroxol hydrochloride and psychological intervention in the treatment of elderly acute pneumonia.Methods100cases of senile acute pneumonia in Fenghua Aiyimei hospital were selected as study objects.Two groups of patients were given correcting electrolyte balance and symptomatic treatment,the control group was given Gatifloxacin and Ambroxol treatment,the experimental group was given psychological intervention on the basis treatment of the control group,including communicating actively with the patient,psychological counseling work,correcting assessment of the patient mental state,increasing confidence in treatment and the treatment compliance of patients.Results The effective rate of the experimental group was92.0%,which was significantly higher than that of the control group,and the effective rate of the control group was84.0%,with statistical difference(P<0.05).In the control group,the bacterial clearance rate was60.0%,and the bacterial clearance rate in the experimental group was82.0%,the comparison between two groups was statistically significant(P<0.05).The incidence of adverse reactions in the two groups was6.0%and8.0%,respectively,and there was no statistical significance.Conclusion The clinical effect of Gatifloxacin combined with Ambroxol hydrochloride and psychological intervention in the treatment of elderly acute pneumonia is ideal,could significantly improve the bacterial clearance rate with high safety and clinical significance.