肺部感染评分在老年重症肺炎患者抗菌药物选择中的应用效果  

Application effects of pulmonary infection score in selection of antibiotics in elderly patients with severe pneumonia

作　　者：陈艳艳 CHEN Yanyan(Taiqian County People’s Hospital,Puyang 457600 Henan,China)

机构地区：[1]台前县人民医院,河南濮阳457600

出　　处：《中国民康医学》2022年第5期147-149,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:探讨肺部感染评分在老年重症肺炎患者抗菌药物选择中的应用效果。方法:选取70例老年重症肺炎患者为研究对象,按照随机数字表法分为观察组与对照组各35例。对照组由临床医师根据自身经验选择抗菌药物治疗,观察组以肺部感染评分为依据选择抗菌药物治疗,比较两组治疗时间(抗菌药物应用时间、并发症控制时间及住院时间)、治疗费用(日平均住院费用和总住院费用)、住院期间真菌定植率和治疗总有效率。结果:观察组患者抗菌药物应用时间、并发症控制时间和住院时间均短于对照组,差异有统计学意义(P<0.05);两组日平均住院费用比较,差异无统计学意义(P>0.05);观察组总住院费用低于对照组,差异有统计学意义(P<0.05);观察组治疗总有效率为94.29%,高于对照组的77.14%,差异有统计学意义(P<0.05);观察组真菌定植率为5.17%,低于对照组的25.71%,差异有统计学意义(P<0.05)。结论:肺部感染评分应用于老年重症肺炎患者抗菌药物选择中可缩短治疗时间,降低总住院费用和真菌定植率,以及提高治疗总有效率,优于临床医师根据自身经验选择抗菌药物治疗效果。Objective:To investigate application effects of pulmonary infection score in selection of antibiotics in elderly patients with severe pneumonia.Methods:70 elderly patients with severe pneumonia were selected as the research objects.According to the random number table method,they were divided into observation group and control group,35 cases in each.In the control group,the clinicians selected the antibiotics according to their own experience,while for the observation group,the antibiotics were chosen according to the pulmonary infection score.The treatment time(antibiotics application time,complication control time and hospitalization time),the treatment expenses(average daily hospitalization expenses and total hospitalization expenses),the fungal colonization rate during the hospitalization and total effective rate of treatment were compared between the two groups.Results:The antibiotics application time,the complication control time and the hospitalization time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the average daily hospitalization expenses between the two groups(P>0.05).The total hospitalization expenses in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The total effective rate of treatment in the observation group was 94.29%,which was higher than 77.14%in the control group,and the difference was statistically significant(P<0.05).Further,the fungal colonization rate in the observation group was 5.17%,which was lower than 25.71%in the control group,and the difference was statistically significant(P<0.05).Conclusions:The application of pulmonary infection score for the selection of antibiotics in the elderly patients with severe pneumonia can shorten the treatment time,reduce the total hospitalization expenses and the fungal colonization rate,and improve the total effective rate of treatment.Moreover,it is super

关 键 词：重症肺炎 老年 抗菌药物 肺部感染评分 疗效 住院费用 真菌定植 

分 类 号：R563.1[医药卫生—呼吸系统]