盐酸氨溴索与头孢哌酮钠舒巴坦钠联合治疗重症肺炎的效果OA
Effect of Ambroxol Hydrochloride Combined with Cefoperazone Sodium and Sulbactam Sodium on Severe Pneumonia
目的:探讨重症肺炎患者应用盐酸氨溴索、头孢哌酮钠舒巴坦钠联合治疗的效果.方法:选择 2022 年 1 月—2025 年 1 月荆州市第三人民医院收治的重症肺炎患者 120 例,借助随机数字表法分为两组,每组 60 例.对照组予以头孢哌酮钠舒巴坦钠治疗,观察组在对照组基础上联合盐酸氨溴索治疗.治疗 14 d 后,比较两组的临床疗效,评估微炎症状态改善情况,测定肺功能各项参数,统计不良反应发生率.结果:治疗后,观察组总有效率较对照组高(P<0.05).治疗后,观察组降钙素原(PCT)、CRP、TNF-α 较对照组低,第 1 秒用力呼气容积(FEV1)、呼气峰值流速(PEF)较对照组高(P<0.05).两组不良反应发生率比较,差异无统计学意义(P>0.05).结论:重症肺炎患者联合应用盐酸氨溴索、头孢哌酮钠舒巴坦钠治疗,可显著增强疗效,减轻微炎症状态,改善肺功能,且安全性良好.
Objective:To explore the effect of combined treatment with Ambroxol Hydrochloride,Cefoperazone Sodium and Sulbactam Sodium in patients with severe pneumonia.Method:A total of 120 patients with severe pneumonia admitted to Jingzhou No.3 People's Hospital from January 2022 to January 2025 were included and divided into two groups by random number table method,with 60 cases in each group.The control group was treated with Cefoperazone Sodium and Sulbactam Sodium,while the observation group was treated with Ambroxol Hydrochioride in combination on the basis of the control group.After 14 days of treatment,the clinical efficacy of the two groups was compared,the improvement of the micro-inflammatory state was evaluated,various parameters of lung function were measured,and the incidence of adverse reactions was statistically analyzed.Result:After treatment,the total effective rate of the observation group was higher than that of the control group(P<0.05).After treatment,the procalcitonin(PCT),CRP and TNF-α in the observation group were lower than those in the control group,and the forced expiratory volume in one second(FEV1)and peak expiratory flow rate(PEF)were higher than those in the control group(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:Ambroxol Hydrochioride combined with Cefoperazone Sodium and Sulbactam Sodium can significantly enhance the curative effect,reduce the micro-inflammatory state and improve the lung function in patients with severe pneumonia,and the safety is good.
张亚杰
荆州市第三人民医院呼吸与危重症医学科 湖北 荆州 434000
重症肺炎盐酸氨溴索头孢哌酮钠舒巴坦钠微炎症状态
Severe pneumoniaAmbroxol HydrochiorideCefoperazone Sodium and Sulbactam SodiumMicro-inflammatory state
《中国医学创新》 2026 (11)
9-13,5
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