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Effect study of Levofloxacin combined with conventional anti-tuberculosis therapy on AIDS complicated with tuberculosis |
CHEN Ting-xian1 CHEN Yong-yi1 HUANG Xiu-huo1 DAI Fen2 |
1.Department of Infectious Medicine,Yangjiang Public Health Hospital,Guangdong Province,Yangjiang 529500,China;
2.VCT Consultation Outpatient,Yangjiang Public Health Hospital,Guangdong Province,Yangjiang 529500,China |
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Abstract Objective To investigate the clinical effect of Levofloxacin combined with conventional anti-tuberculosis therapy on AIDS patients with pulmonary tuberculosis.Methods A total of 42 patients with HIV-positive pulmonary tuberculosis admitted to Yangjiang Public Health Hospital from January 2014 to December 2016 were randomly divided into control group and treatment group,21 cases in each group.The control group received conventional anti-tuberculosis therapy.The treatment group was treated with Levofloxacin and routine anti-tuberculosis treatment,the clinical effect of two groups of patients were analyzed and compared.Results The total effective rate of the treatment group was significantly higher than that of the control group(P<0.05);the sputum negative conversion rate of the treatment group was higher than that of the control group(P<0.05);the treatment group improved MRC dyspnea score,1 seconds rate,6-minute walk distance were significantly higher than that in the control group,indicated that the respiratory function of the treatment group was better than that of the control group,the differences were statistically significant(P<0.05).The incidence of adverse reactions in the treatment group was 42.86%,the incidence of adverse reactions in the control group was 38.10%.There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05).Conclusion Levofloxacin combined with conventional anti-tuberculosis therapy in patients with AIDS-associated pulmonary tuberculosis is not only effective,but also has a small adverse reaction,and can be used as a new generation of anti-TB drugs,especially in the treatment of tuberculosis in special populations.
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