老年呼吸道感染93例门诊治疗分析  

Analysis of 93 Cases Respiratony Tract Infection in Clinic

作　　者：罗国华 胡志卿 甘虎[2] 

机构地区：[1]广东省深圳市光明新区光明医院,广东深圳518000 [2]广东医学院附属西乡人民医院,广东深圳518000

出　　处：《河北医学》2012年第2期211-213,共3页Hebei Medicine

摘　　要：目的:对老年门诊患者呼吸道感染治疗的有效性和经济性进行分析。方法:采用Fine危险分层筛选出适合门诊治疗的老年呼吸道感染患者,随机分为3组,分别采用环丙沙星、头孢噻肟钠以及上述两种抗生素联用进行治疗,对治疗有效性和经济性进行观察。结果:①两抗生素联用治疗有效性显著高于单用抗生素(P<0.05),而单用两种抗生素有效性无显著差异(P>0.05);②单用头孢噻肟钠治疗的成本/效果比值明显高于单用环丙沙星和联用两种抗生素(P<0.05),而后两种治疗方案的成本/效果比值无显著差异(P>0.05)。结论:环丙沙星联合头孢噻肟钠治疗老年呼吸道感染是一种兼顾疗效和经济性的治疗方案。Objective： To analyse effectiveness and economy of treatment of outpatient respiratory tract infections in elderly patients. Method： Filter out the patients suitable for outpatient treatment using Fine risk stratification.Divided them into 3 groups randomly： treated with ciprofloxacin,cefotaxime and combined two antibiotics respectively,then observed effectiveness and economy of these treatment options. Result： ①Effectiveness rate of combined group was significantly higher than other two groups（P0.05）,and there were no significant differences between other two groups;②C/E was significantly higher in cefotaxime group than in other two groups（P0.05）,and there were no significant differences between other two groups（P0.05）.Conclusion： Ciprofloxacin combining with cefotaxime is an optimized option for outpatient treatment of respiratory tract infection in elderly patients,which is with balanced consideration of effectiveness and economy.

关 键 词：呼吸道感染 老年 环丙沙星 头孢噻肟钠 

分 类 号：R56[医药卫生—呼吸系统]