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青岛市胶州中心医院儿科
纸质出版日期:2020,
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[1]刘栩,李小伟,杨恺,薛见珍,李克泉.帕拉米韦氯化钠注射液联合注射用盐酸万古霉素治疗病毒和耐甲氧西林金黄色葡萄球菌诱发的新生儿败血症的临床效果[J].中国医院用药评价与分析,2020,20(08):932-935.
LIU Xu, LI Xiaowei, YANG Kai, et al. Clinical Efficacy of Peramivir Sodium Chloride Injection Combined with Vancomycin Hydrochloride Injection in the Treatment of Neonatal Septicemia Induced by Virus and Methicillin Resistant Staphylococcus Aureus[J]. 2020,20(8):932-935.
[1]刘栩,李小伟,杨恺,薛见珍,李克泉.帕拉米韦氯化钠注射液联合注射用盐酸万古霉素治疗病毒和耐甲氧西林金黄色葡萄球菌诱发的新生儿败血症的临床效果[J].中国医院用药评价与分析,2020,20(08):932-935. DOI: 10.14009/j.issn.1672-2124.2020.08.010.
LIU Xu, LI Xiaowei, YANG Kai, et al. Clinical Efficacy of Peramivir Sodium Chloride Injection Combined with Vancomycin Hydrochloride Injection in the Treatment of Neonatal Septicemia Induced by Virus and Methicillin Resistant Staphylococcus Aureus[J]. 2020,20(8):932-935. DOI: 10.14009/j.issn.1672-2124.2020.08.010.
目的:探讨帕拉米韦氯化钠注射液联合注射用盐酸万古霉素治疗病毒和耐甲氧西林金黄色葡萄球菌(methicillin resistant Staphylococcus aureus
MRSA)诱发的新生儿败血症的临床疗效。方法:选取2016年11月至2019年11月青岛市胶州中心医院收治的病毒和MRSA诱发的败血症新生儿96例
采用随机数字表法分为对照组和观察组
每组48例。对照组患儿给予注射用盐酸万古霉素治疗
观察组患儿在对照组的基础上联合帕拉米韦氯化钠注射液治疗。比较两组患儿的临床疗效、炎症指标水平、免疫学指标水平及用药安全性的差异。结果:治疗后
观察组患儿的总有效率为95.83%(46/48)
显著高于对照组的81.25%(39/48)
差异有统计学意义(P<0.05)。治疗后
两组患儿白细胞介素2(IL-2)、白细胞介素6(IL-6)、白细胞介素8(IL-8)、白细胞计数(WBC)、血清淀粉样蛋白A(SAA)、C反应蛋白(CRP)及肿瘤坏死因子α(TNF-α)水平均显著降低;且观察组患儿IL-2、IL-6、IL-8、SAA、CRP及TNF-α水平明显低于对照组
差异均有统计学意义(P<0.05);但两组患儿WBC水平的差异无统计学意义(P>0.05)。治疗后
两组患儿自然杀伤细胞(NK细胞)活性、免疫球蛋白G(Ig G)水平显著升高
免疫球蛋白M(Ig M)水平显著降低;且观察组患儿NK细胞活性、Ig G水平明显高于对照组
Ig M水平明显低于对照组
差异均有统计学意义(P<0.05)。观察组、对照组患儿的不良反应发生率分别为4.16%(2/48)、2.08%(1/48)
差异无统计学意义(P>0.05);通过对症处理
症状均能得到控制。结论:与单独应用注射用盐酸万古霉素相比
帕拉米韦氯化钠注射液联合注射用盐酸万古霉素治疗病毒和MRSA诱发的新生儿败血症可提高临床疗效
提高患儿免疫功能
减轻炎症反应。
OBJECTIVE:To probe into the clinical efficacy of peramivir sodium chloride injection combined with vancomycin hydrochloride injection in the treatment of neonatal septicemia induced by virus and methicillin resistant Staphylococcus aureus(MRSA).METHODS:96 newborns with septicemia induced by virus and MRSA admitted into Jiaozhou Central Hospital from Nov.2016 to Nov.2019 were selected and divided into control group and observation group via random number table
with 48 cases in each group.The control group was given vancomycin hydrochloride injection
while the observation group was given peramivir sodium chloride injection based on the control group.Differences in clinical efficacy
inflammatory indicators
immunological indicators and medication safety were compared between two groups.RESULTS:After treatment
the total effective rate of observation group was 95.83%(46/48)
which was significantly higher than that of the control group(81.25%
39/48)
with statistically significant difference(P<0.05).After treatment
levels of interleukin 2(IL-2)
interleukin 6(IL-6)
interleukin 8(IL-8)
white blood cell count(WBC)
serum amyloid protein A(SAA)
C reactive protein(CRP) and tumor necrosis factor α(TNF-α) of both groups had been significantly decreased;the IL-2
IL-6
IL-8
SAA
CRP and TNF-α levels of observation group were significantly lower than those of the control group
with statistically significant differences(P<0.05);while there was no statistical significance in difference in WBC levels between two groups(P>0.05).After treatment
the activity of nature killer cell(NK cell) and level of immune globulin G(IgG) of both groups had been significantly increased
while the IgM level was significantly decreased;the activity of NK cell and level of IgG of observation group were significantly higher than those of the control group
while the IgM level was significantly lower
with statistically significant differences(P < 0.05).The incidences of adverse drug reactions of observation group and control group were respectively 4.16%(2/48) and 2.08%(1/48)
the difference had no statistical significance(P > 0.05);all the symptoms were controlled after expectant treatment.CONCLUSIONS:Compared with vancomycin hydrochloride injection alone
the combination of peramivir sodium chloride injection and vancomycin hydrochloride injection in the treatment of neonatal septicemia induced by virus and MRSA can improve the clinical efficacy
promote immunocompetence and relieve inflammatory reaction.
帕拉米韦氯化钠注射液注射用盐酸万古霉素病毒MRSA新生儿感染临床效果
Peramivir sodium chloride injectionVancomycin hydrochloride injectioVirusMRSANeonatal infectionClinical effect
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