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抗生素联合丙种球蛋白治疗老年人肺部感染36例疗效观察

Analysis of curative effects of combination therapy of antibiotics and gamma globulin on aged patients with pneumonic affects:Report of 36 cases

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【作者】 胡秀芬郭湘萍

【Author】 Hu Xiufen,Guo Xiangping.Department of Emergency,Beijing Railway General Hospital,Beijing 100038,China

【机构】 铁道部北京铁路总医院急诊科铁道部北京铁路总医院急诊科 100038100038

【摘要】 目的观察抗生素联合丙种球蛋白治疗老年人肺部感染疗效。方法75例老年(年龄>60岁)严重肺部感染患者随机分为两组,A组为治疗组(36例),在综合治疗基础上加用丙种球蛋白5~10克/日静滴3~5天;B组为对照组(39例),常规综合治疗。对两组临床疗效进行比较。结果A组第3天体温较B组下降明显(P<0.05)、第5天白细胞计数较B组下降明显(P<0.01)、肺部阴影消退时间较B组缩短(P<0.01),病死率较B组下降(P<0.01),均有显著性差异。结论治疗老年人肺部感染时,联合使用丙种球蛋白可加快炎症吸收,降低死亡率。

【Abstract】 Objective To observe curative effects of combination therapy of antibiotics and gamma globulin on aged patients with pneumonic affect.Methods Seventy-five cases were randomly divided into two groups:treatment group A(36 cases) and control group B(39 cases).All the patients in two groups were treated with antibiotics,relieving cough and expelling the phlegm,dilated bronchia,inhalation oxygen,correct water-dielectric and acid-basic balance disturbance.The patients in the treatment group were also treated with gamma globulin 5-10 g/day vein drop 3-5 day.Results Group A body temperature were lower clearly than it in group B in third day(P<0.05).The counts of leukocyte in group A were lower than them in group B in fifth day(P<0.01),regression time of shade in pulmonary X-ray photogram shortening significant in group A.Conclusion Antibiotics combined gamma globulin in curing aged patients with pulmonary affects can speed up absorption of inflammation and lowering mortality.

【关键词】 老年肺部感染丙种球蛋白
【Key words】 AgePulmonary affectsGamma globulin
  • 【文献出处】 福建医药杂志 ,Fujian Medical Journal , 编辑部邮箱 ,2005年05期
  • 【分类号】R563.1;
  • 【被引频次】1
  • 【下载频次】55
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