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抗菌药联合针灸治疗慢性阻塞性肺疾病急性加重期患者临床研究▲
Clinical research of antibacterial agents combined with acupuncture in treatment of acute exacerbation of chronic obstructive pulmonary disease

内科 201506期 页码:775-777

作者机构:广西来宾市人民医院 1药剂科;2中医科;3呼吸内科,来宾市546100

基金信息:▲基金项目:广西医药卫生科研课题(Z2014336)

DOI:DOI:10.16121/j.cnki.cn45-1347/r.2015.06.04

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目的探讨抗菌药联合针灸治疗慢性阻塞性肺疾病急性加重期患者的临床效果。方法选择住院治疗的慢性阻塞性肺疾病急性加重期患者60例为研究对象,按随机数字表法随机分为研究组和对照组,每组30例。对照组患者在常规治疗基础上注射用头孢哌酮舒巴坦钠治疗,研究组患者在同对照组治疗的基础上联合针灸治疗,比较两组患者的临床治疗效果、平均住院天数、药物利用指数(DUI)、抗菌药使用强度、30日再住院率、住院总费用及总药费。结果研究组患者治疗总有效率为96.7%,对照组为90.0%,研究组患者的临床疗效优于对照组患者,差异有统计学意义(P<0.05);研究组患者住院天数、DUI、抗菌药使用强度、住院总费用及总药费均明显低于对照组,差异具有统计学意义(P<0.05)。两组患者治疗期间均未发生严重不良反应。结论抗菌药联合针灸治疗COPD急性加重期患者,临床疗效确切,可有效减少患者抗菌药物的使用量,缩短住院时间,降低治疗费用,值得临床推广应用。
ObjectiveTo investigate the clinical efficacy of antibacterial agents combined with acupuncture in treatment of acute exacerbation of chronic obstructive pulmonary disease. MethodsA total of 60 cases of acute exacerbation of chronic obstructive pulmonary disease were selected and randomly divided into control group and study group,with 30 cases in each group. The control group was treated with cefoperazone-sulbactam sodium on the basis of conventional treatment while the study group was given acupuncture on basis of the control group, clinical effect, average days of hospitalization, drug utilization index (DUI), antibacterial use density,the rate of 30 days readmission, the total hospitalization expenditures and cost of the drugs between the two groups were compared. ResultsThe rate of clinical effect in the study group was 96.7% and the control group was 90.0%, there was no significant difference between the two groups(P>0.05),but rank sum test show that the efficacy of the study group was significantly superior to the control group(P<0.05); the average days of hospitalization, DUI, antibacterial use density, total hospitalization expenditures and cost of the drugs in the study group were significantly lower than those in the control group (P<0.05); there were no untoward reactions in both study group and control group in the clinical trial. ConclusionsAcupuncture combined with antibacterial agents has definite clinical effect in treating acute exacerbation of COPD, which can effectively reduce the use of antibiotic, shorten the hospitalization time, decrease expenditure, and worthy of popularization and application.
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