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Application effect of Cefoperazone Sodium Sulbactam Sodium in elderly patients with cerebral infarction complicated with pulmonary infection |
CHEN Ning1 CAO Xingyi2 |
1.Department of Pneumoconiosis,General Hospital of Xuzhou Mining Group,Jiangsu Province,Xuzhou 221000,China;
2.Department of Neurology,General Hospital of Xuzhou Mining Group,Jiangsu Province,Xuzhou 221000,China |
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Abstract Objective To investigate the application effect of Cefoperazone Sodium Sulbactam Sodium in elderly patients with cerebral infarction complicated with pulmonary infection.Methods A total of 57 elderly patients with cerebral infarction complicated with pulmonary infection in the Department of Pneumoconiosis of General Hospital of Xuzhou Mining Group from May 2019 to August 2020 were selected as the research objects,according to random number table method,they were divided into the control group (28 cases) and the observation group (29 cases).Both groups were given routine treatment,the control group was given Ceftazidime on the basis of conventional treatment,the observation group was given Cefoperazone Sodium Sulbactam Sodium on the basis of conventional treatment.The levels of blood gas index,immune function and inflammatory factor of the two groups before and after treatment were compared.Results Before treatment,there were no significant differences in the levels of hydrogen ion concentration index (pH),partial pressure of oxygen (PaO2),and partial pressure of carbon dioxide (PaCO2) between the two groups (P>0.05).The levels of pH and PaO2 in the two groups after treatment were higher than those before treatment,and the levels of pH and PaO2 in the observation group after treatment were higher than those in the control group,and the differences were statistically significant (P<0.05).The level of PaCO2 in the two groups after treatment was lower than that before treatment,and the level of PaCO2 in the observation group after treatment was lower than that in the control group,and the difference was statistically significant (P <0.05).There were no significant differences in the levels of serum immunoglobulin A (IGA),immunoglobulin G (IgG) and immunoglobulin M (IgM) between the two groups before treatment(P>0.05).After treatment,the levels of serum IgA,IgG,and IgM in the two groups were higher than those before treatment,and the levels of serum IgA,IgG,and IgM in the observation group after treatment were higher than those in the control group,and the differences were statistically significant (P<0.05).Before treatment,there were no statistical differences in the levels of serum interleukin-6 (IL-6),interleukin-8 (IL-8) and tumor necrosis factor-α (TNF-α) between the two groups (P>0.05).After treatment,the levels of serum IL-6,IL-8 and TNF-α in the two groups were lower than those before treatment,and the levels of serum IL-6,IL-8 and TNF-α in the observation group after treatment were lower than those in the control group,the differences were statistically significant (P<0.05).Conclusion Cefoperazone Sodium Sulbactam Sodium can effectively improve blood gas index,enhance immune ability and reduce inflammatory response in elderly patients with cerebral infarction complicated with pulmonary infection.
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[1] |
李帅,秦永明,冯康,等.依达拉奉联合疏血通注射液治疗急性脑梗死的临床疗效及对血液流变学指标的影响[J].中西医结合心脑血管病杂志,2021,19(18):3222-3225.
|
[2] |
杨云凤.脑梗死急性期病人并发多脏器功能障碍综合征的影响因素及临床转归[J].实用老年医学,2018,32(4):381-383.
|
[3] |
朱世芳,王倩.重症监护病房急性重症脑梗死并发肺部感染患者综合护理效果分析[J].中国农村卫生,2019,11(12):23.
|
[4] |
刘芳,唐秋凤,温乙托,等.替加环素治疗老年脑梗死合并泛耐药鲍氏不动杆菌肺部感染的应用效果[J].中华医院感染学杂志,2020,30(15):2306-2310.
|
[5] |
姜旭.用头孢哌酮钠舒巴坦钠联合氯吡格雷对老年脑梗死合并肺部感染患者进行治疗的效果研究[J].当代医药论丛,2020,18(5):112-113.
|
[6] |
郑颖文,邓小梅,钟玉兰.阿米卡星联合头孢哌酮/舒巴坦治疗老年慢性心力衰竭合并肺部感染的疗效观察[J].中华老年多器官疾病杂志,2017,16(11):837-840.
|
[7] |
中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组.中国急性缺血性脑卒中诊治指南2018[J].中华神经科杂志,2018,51(9):666-682.
|
[8] |
中华人民共和国卫生部.医院感染诊断标准(试行)[J].现代实用医学,2003,15(7):460-465.
|
[9] |
高艳平.规范化护理干预对急性脑梗死患者介入溶栓术后的应用观察[J].山西医药杂志,2019,48(17):2205-2207.
|
[10] |
赵磊,薛剑,王瑜玲,等.脑梗死合并肺部感染病人Th1/Th2、CRP/ALB 比值和NLR 变化及临床意义[J].中西医结合心脑血管病杂志,2021,19(8):1388-1391.
|
[11] |
谢丽平,栾凯.头孢他啶联合氨溴索注射液治疗老年糖尿病合并肺部感染的效果观察[J].慢性病学杂志,2018,20(12):1758-1759,1762.
|
[12] |
杨涛,邓卫平,陆怡,等.β-内酰胺类抗菌药物/β-内酰胺酶抑制剂复方制剂使用强度与常见革兰阴性菌耐药率关联性分析[J].中国药业,2021,30(3):91-95.
|
[13] |
闫秀娟.分析高龄重症脑梗死并发肺部感染患者致病因素及临床治疗疗效[J].饮食保健,2020,7(6):74.
|
[14] |
王静旭,夏海发,姚尚龙.促炎症消退介质通过调节免疫细胞促进炎症消退的机制研究进展[J].中华危重病急救医学,2020,32(7):873-876.
|
[15] |
程仕彤,王绿娅.关注免疫炎症及其标志物在动脉硬化性心血管病中的作用[J].心肺血管病杂志,2018,37(10):883-888.
|
[16] |
刘芳芳,刘自双,陈珊珊,等.胸腺五肽联合头孢哌酮钠舒巴坦钠对老年糖尿病并肺部感染的疗效及血清C 反应蛋白和白细胞介素-6 水平的影响[J].中国临床保健杂志,2019,22(5):601-604..
|
[17] |
赵晴,赵红梅,陈亚青,等.老年人心衰合并肺部感染病原菌分布及其对血炎性因子水平影响相关分析[J].解放军预防医学杂志,2019,37(6):34-35.
|
[18] |
刘志英.急性重症脑血管病患者感染性并发症(肺部感染)临床治疗分析[J].重庆医学,2018,47(0):272-274.
|
[19] |
张洁,宋晓晓,陈苗.头孢哌酮舒巴坦和左氧氟沙星治疗老年社区获得性肺炎的效果对比[J].北方药学,2019,16(1):53,52.
|
[20] |
李楠,张豪杰,王悦,等.TEM-1 型β-内酰胺酶及CarO蛋白介导的耐舒巴坦鲍曼不动杆菌临床株耐药机制研究[J].天津医药,2018,46(3):246-250.
|
[21] |
白金娟.头孢哌酮-舒巴坦对脑梗死患者伴肺部感染的疗效及其对血清C 反应蛋白与血氧饱和度水平的影响[J].抗感染药学,2019,16(11):1995-1997.
|
|
|
|