甲强龙在大叶性肺炎治疗中的应用

Application of Jia Qianglong in the treatment of lobar pneumonia

目的讨论在大叶性肺炎的治疗中,应用甲强龙的疗效和安全性。方法选择在2010年4月——2012年6月间,在我院治疗的大叶性肺炎患者共72例,随机分为治疗组和对照组各36例,治疗组用甲强龙治疗,对照组用阿奇霉素治疗,治疗7天后,比较两组患者的疗效和安全性。结果经过7天的治疗,治疗组患者痊愈26例,显效9例,总有效率为97.2%,对照组患者痊愈20例,显效11例,总有效率为86.1%,p【0.05,有统计学意义。治疗组患者体温恢复正常的时间、咳嗽咳痰等缓解时间,肺部阴影、胸腔积液消失时间比对照组患者短,p【0.05,有统计学意义。两组患者不良发应无明显差别,无统计学意义。结论在治疗大叶性肺炎时,应用甲强龙比常规的抗生素效果更好,见效快,稳定安全,具有推广价值。

Objective To discuss the treatment of lobar pneumonia,efficacy and safety of methylprednisolone.Methods In 2010 April——2012 yearin June,in our hospital treatment of lobar pneumonia in patients with a total of 72 cases,were randomly divided into treatment group and control group with 36 cases in each group,the treatment group was treated with methylprednisolone,the control group was treated with azithromycin,7 days after treatment,compared the efficacy between two groups and safety.Results After 7 days of treatment,the patients in the treatment group 26 cases were cured,9 cases markedly effective,the total effective rate was 97.2%,the control group were cured 20 cases,effective in 11 cases,the total effective rate was 86.1%,p < 0.05,there was statistical significance.The patients in the treatment group the temperature returned to normal time,cough and expectoration,relieving time,shadow of lung,pleural effusion disappearance time than patients in the control group,p < 0.05,had statistical significance.Two groups of patients with poor hair should be no significant difference,no statistical significance.Conclusion In the treatment of lobar pneumonia,methylprednisolone and better than conventional antibiotic effect,quick,safe and stable,has the value of popularization.