莫西沙星治疗对轻中度慢性阻塞性肺疾病急性加重期患者呼吸困难程度、肺功能的影响OA
Effect of Moxifloxacin on Dyspnea and Pulmonary Function in Patients with Acute Exacerbation of Mild to Moderate Chronic Obstructive Pulmonary Disease
目的 研究轻中度慢性阻塞性肺疾病(COPD)急性加重期患者应用莫西沙星治疗对其呼吸困难程度、肺功能的影响.方法 共纳入 2024 年 1 月-9 月我院 69 例符合轻中度COPD急性加重期诊断标准的患者作为研究对象.采用随机数字表法将患者分为两组:其中常规组 34 例,予以注射用哌拉西林钠他唑巴坦钠治疗;研究组 35 例,予以盐酸莫西沙星氯化钠注射液治疗.比较两组临床疗效、呼吸困难程度(mMRC评分)、肺功能指标(FVC、FEV1)、炎性指标(WBC、CRP)、不良反应(消化道症状、头痛、皮疹)发生率.结果 研究组治疗总有效率(94.29%)高于常规组(85.29%)(P<0.05);两组治疗后呼吸困难程度(mMRC评分)、肺功能指标(FVC、FEV1)、炎性指标(WBC、CRP)较治疗前改善,且研究组优于常规组(P<0.05);研究组不良反应发生率(5.71%)低于常规组(14.71%)(P<0.05).结论 莫西沙星治疗轻中度COPD急性加重期患者的效果确切,在减轻呼吸困难程度、改善肺功能、抑制炎症反应、降低不良反应发生率方面具有积极作用.
Objective To study the effect of moxifloxacin on dyspnea and pulmonary function in patients with acute exacerbation of mild to moderate chronic obstructive pulmonary disease(COPD).Methods This study included 69 patients meeting the criteria for acute exacerbation of mild to moderate COPD from our hospital during the period of January to September 2024.Patients were randomized via a random number table,34 patients assigned to the routine group,which were received piperacillin sodium and tazobactam sodium for injection,while the remaining 35 patients in the study group were treated with moxifloxacin hydrochloride and sodium chloride injection.The clinical efficacy,degree of dyspnea(mMRC score),pulmonary function indexes(FVC,FEV1),inflammatory indexes(WBC,CRP),and incidence of adverse reactions(gastrointestinal symptoms,headache,rash)were compared between the two groups.Results The study group demonstrated a significantly higher total treatment effective rate(94.29%)compared to the routine group(85.29%)(P<0.05).After treatment,the degree of dyspnea(mMRC score),pulmonary function indexes(FVC,FEV1)and inflammatory indexes(WBC,CRP)in the two groups were improved compared with those before treatment,with outcomes in the study group being superior to those in the routine group(P<0.05).The study group demonstrated a significantly lower incidence of adverse reactions(5.71%)compared with the conventional group(14.71%)(P<0.05).Conclusion Moxifloxacin is effective in the treatment of patients with mild to moderate acute exacerbation of COPD.It has a positive effect in reducing the degree of dyspnea,improving pulmonary function,inhibiting inflammatory response and reducing the incidence of adverse reactions.
刘文群
南昌县中医院药剂科,江西 南昌 330200
医药卫生
莫西沙星慢性阻塞性肺疾病急性加重期肺功能
MoxifloxacinChronic obstructive pulmonary diseaseAcute exacerbationPulmonary function
《医学信息》 2026 (4)
158-161,4
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