| 重症肺炎的抗菌药物降阶梯治疗策略与替考拉宁的临床应用 |
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| 引用本文： | 高炜,高景,邢丽华,李振华,王宁,焦婧. 重症肺炎的抗菌药物降阶梯治疗策略与替考拉宁的临床应用[J]. 中华医院感染学杂志, 2010, 20(7) |
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| 作者姓名： | 高炜 高景 邢丽华 李振华 王宁 焦婧 |
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| 作者单位： | 郑州大学第一附属医院呼吸内科,河南,郑州,450052 |
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| 摘 要： | 目的使用降阶梯方案治疗重症监护病房(ICU)重症肺炎评价其疗效。方法回顾分析医院2008年8月1日~2009年3月31日ICU重症肺炎患者83例,分成传统治疗组和降阶梯治疗组,比较两组患者的初始治疗恰当率、感染控制率和感染控制所需时间等指标。结果降阶梯治疗组与传统治疗组的初始治疗恰当率为81.37%与55.07%,差异有统计学意义(P0.05),治疗有效率81.0%与56.1%,差异有统计学意义(P0.05),感染控制所需天数(7.7±2.4)d与(18.3±5.8)d,差异有统计学意义(P0.05)。结论对于ICU重症肺炎使用降阶梯治疗可获得良好疗效。
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| 关 键 词： | 降阶梯治疗 重症监护病房 重症肺炎 替考拉宁 |
Deescalation Therapy for Severe Nosocomial Pneumonia and Clinical Using of Teicoplanin |
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| GAO Wei,GAO Jing,XING Li-hua,LI Zhen-hua,WANG Ning,JIAO Jing. Deescalation Therapy for Severe Nosocomial Pneumonia and Clinical Using of Teicoplanin[J]. Chinese Journal of Nosocomiology, 2010, 20(7) |
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| Authors: | GAO Wei GAO Jing XING Li-hua LI Zhen-hua WANG Ning JIAO Jing |
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| Affiliation: | GAO Wei,GAO Jing,XING Li-hua,LI Zhen-hua,WANG Ning,JIAO Jing (The First Affiliated Hospital,Zhengzhou University,Zhengzhou,Henan 450052,China) |
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| Abstract: | OBJECTIVE To use deescalation therapy for the severe nosocomial pneumonia in the ICU,and estimate the curative effect.METHODS All of 83 patients of severe nosocomial pneumonia from Arg 1st,2008 to Mar 31st,2009 were divided into two groups(traditional group and deescalation group).Their adequate rate of initial therapy,infection controlled rate and the days from the on-set of treatment to the infection controlled were compared.RESULTS Between deescalation group and traditional group,the adequate rate of ini... |
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| Keywords: | Deescalation therapy ICU Severe nosocomial pneumonia Teicoplanin |
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