阿莫西林克拉维酸钾不同给药方案治疗细菌性呼吸道感染的效果分析

目的：分析阿莫西林克拉维酸钾不同给药方案治疗细菌性呼吸道感染的效果。方法将本院2011年6月~2013年6月收治的细菌性呼吸道感染患者936例随机分为A、B两组,A组患者给予注射用阿莫西林钠克拉维酸钾100 mg/kg,溶于100 ml氯化钠注射液,静脉注射,1次/d。 B组患者采用同批次注射用阿莫西林钠克拉维酸钾,50 mg/kg,溶于50 ml氯化钠注射液,静脉注射,2次/d。根据病情,给药时间为1～2周。比较两组的临床疗效及给药时间。结果轻度和中度感染患者中,A、B两组的给药时间差异无统计学意义（P＞0.05）；重度感染患者中,A组给药时间明显长于B组,差异有统计学意义（P＜0.05）。轻度和中度感染患者中,B组治疗有效率高于A组,但差异无统计学意义（P＞0.05）；重度感染患者中,B组的有效率显著高于A组,差异有统计学意义（P＜0.05）。结论A给药方案在轻度和中度感染治疗效果较好,同时减少给药次数,B方案可对重度感染进行有效治疗。

Effect analysis of different dosage regimen amoxicillin and clavulanate potassium for the treatment of bacterial respiratory tract infections

Objective To analyze the clinical effect of different dosage regimen amoxicillin and clavulanate potassium in the treatment of bacterial respiratory tract infections. Methods 936 patients with bacterial respiratory tract infection treated in our hospital from June 2011 to June 2013 were randomly divided into group A and group B,group A were given with injections of amoxicillin and clavulanate potassium 100 mg/kg,dissolved in 100 ml of sodium chloride injec-tion,intravenous injection,1 time/d.Group B were taken with the same batch of injectable amoxicillin and clavulanate potassium,50 mg/kg,dissolved in 50 ml of sodium chloride injection,intravenous injection,2 times/d.According to the disease,administration time were 1 to 2 weeks.The clinical efficacy of the two groups and the administration time were compared. Results In patients with mild and moderate infection,the administration time of group A and group B had no significant difference （P〉0.05）;in patients with severe infection,the administration time of group A was longer than that of group B,the difference was significant （P〈0.05）.In patients with mild and moderate infection,the effective rate of group B was higher than that of group A,but the difference was not significant （P〉0.05）;in patients with severe infection, the effective rate of group B was higher than that of group A,the difference was significant （P〈0.05）. Conclusion The dosage regimen of group A has better effect in patients with mild and moderate infection,can decrease the administra-tion time,the dosage regimen of group B has better effect in patients with severe infection.