不同方案治疗传染性非典型肺炎疗效观察  

Therapeutic efficacy in patients with infectious atypical pneumonia:comparison of different protocols

作　　者：许敏[1] 蔡卫平[1] 贾卫东[1] 

机构地区：[1]广州市传染病医院,510060

出　　处：《中国实用内科杂志》2003年第12期722-724,共3页Chinese Journal of Practical Internal Medicine

摘　　要：目的　探讨不同治疗方案对广州地区爆发流行的传染性非典型肺炎的疗效。方法　将 2 0 0 3- 0 2～2 0 0 3- 0 5收治的传染性非典型肺炎按不同治疗方案进行分组 ,比较其治疗效果并进行分析。结果　显示各组抗病毒药物治疗效果差异无显著性 ,但使用糖皮质激素可减少机械通气特别是气管插管的机率。结论　重症患者或出现急性呼吸窘迫综合征者在适当时机使用适当剂量的糖皮质激素及正压无创通气可在一定程度上阻止肺部炎症渗出的进展 。Objective To observe the therapeutic efficacy of different schemas in partients with contagious atypical pneumonia outbreaking in GuangZhou area.Methods Patient who were hospitalized in our ward from Feb,2003 to May,2003 were allocated to different groups according to the therapentic schema.To compare and analyse the efficacy.Results resnlts indicate that the effects of antivirus drugs of all groups have no difference.The use of glucocorticoid decreased the opportunity of mechanical ventilation and intubation.Conclusion Patients who have severe condition or present with adult respiratory dyspnea syndrome will relieve in pulmonary inflammatory bleeding at some degree if they get proper glucocorticoid and positive pressure nonivasive ventilation,the possibility of intubation and fatality will decrease

关 键 词：治疗 传染性非典型肺炎 疗效观察 抗病毒药物 糖皮质激素 

分 类 号：R563.1[医药卫生—呼吸系统]