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克林霉素联合复方磺胺甲口恶唑片治疗艾滋病合并肺孢子菌肺炎的疗效分析

陈钟 肖钢 周泉 何艳

中国感染控制杂志2016,Vol.15Issue(10):773-776,4.
中国感染控制杂志2016,Vol.15Issue(10):773-776,4.DOI:10.3969/j.issn.1671-9638.2016.10.013

克林霉素联合复方磺胺甲口恶唑片治疗艾滋病合并肺孢子菌肺炎的疗效分析

Therapeutic effect of clindamycin combined with compound sulfamethox-azole tablets on pneumocystis pneumonia associated with acquired immuno-deficiency syndrome

陈钟 1肖钢 2周泉 1何艳1

作者信息

  • 1. 中南大学湘雅二医院,湖南 长沙 410011
  • 2. 长沙市第一医院,湖南 长沙 410005
  • 折叠

摘要

Abstract

Objective To understand the therapeutic effect of clindamycin combined with compound sulfamethoxazole tablets on pneumocystis pneumonia(PCP)associated with acquired immunodeficiency syndrome (AIDS).Methods 97 AIDS patients with PCP in a hospital from January 2014 to March 2015 were randomly divided into control group (n=49,received compound sulfamethoxazole )and trial group(n=48,received clindamycin on the basis of com-pound sulfamethoxazole ),levels of partial pressure of oxygen in arterial blood (PaO2 ),arterial blood oxygen satu-ration(SaO2 ),serum albumin(ALB),and lactic dehydrogenase (LDH)in two groups of patients before and after treatment were recorded.Results Levels of PaO2 ,SaO2 ,ALB,and LDH between two groups of patients before treatment was not significantly different(all P >0.05).After treatment,PaO2 in control group and trial group were (73.01 ±4.62)mmHg and(84.92 ±5.34)mmHg respectively,SaO2 were (75.81 ±4.28)% and(90.86 ±5.94)%respectively,ALB were (32.62±4.41 )g/L and(43.95 ±5.03)g/L respectively,LDH were(416.53 ±30.77)U/L&nbsp;and(331 .58±20.86)U/L respectively,levels of PaO2 and SaO2 in trial group were both higher than control group , difference in ALB and LDH between two groups of patients after treatment were both statistically significant(both P <0.05).The total effective rate of trial group was 89.58% (n=43),which was higher than 69.39%(n=34)in control group (χ2 =6.04,P =0.014).Conclusion Clindamycin combined with compound sulfamethoxazole tablets has good therapeutic effect on AIDS and PCP,which is worthy of clinical popularization and application.

关键词

克林霉素/复方磺胺甲口恶唑片/艾滋病/肺孢子菌肺炎/疗效

Key words

clindamycin/compound sulfamethoxazole tablets/acquired immunodeficiency syndrome/pneumocystis pneumonia/therapeutic effect

分类

医药卫生

引用本文复制引用

陈钟,肖钢,周泉,何艳..克林霉素联合复方磺胺甲口恶唑片治疗艾滋病合并肺孢子菌肺炎的疗效分析[J].中国感染控制杂志,2016,15(10):773-776,4.

基金项目

湖南省发改委科研计划项目 ()

中国感染控制杂志

OA北大核心CSTPCD

1671-9638

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