摘要
目的评价抗生素对嗜麦芽窄食单胞菌性呼吸机相关性肺炎的疗效,指导临床治疗。方法对72例由嗜麦芽窄食单胞菌引起的呼吸机相关性肺炎患者进行回顾性分析,根据是否抗嗜麦芽窄食单胞菌治疗将人选患者分为非治疗组(34例)和治疗组(38例),比较两组患者肺炎的预后。结果非治疗组治愈5例,显效14例,无效15例,总有效率55.88%;治疗组治愈7例,显效19例,无效12例,总有效率68.42%。两组患者肺炎预后比较差异无统计学意义(X^2=1.20,P〉0.05)。结论尚不能认为抗生素对嗜麦芽窄食单胞菌引起的呼吸机相关性肺炎有显著疗效。
Objective To evaluate the curative effect of antibiotic for ventilator - associated pneumonia (VAP) infected with stenotrophomonas maltophilia (SM) and provide the evidences for treatment. Methods 72 patients were involved in this study and divided into two groups : non - treated group and treated group with antibiotic. To compare the prognosis of patients in two groups. Results There were 34 patients in the non -treated group:5 were cured, 14 showed obvious improvement and 15 were ineffective;there were 38 patients in antibiotic treated group :7 were cured, 19 showed obvious improvement and 12 were ineffective. There were no significant differences in resuhs between the two groups ( X^2 = 1.20 ,P 〉 0. 05 ). Conclusion There was no evidence that antibiotics are effective for ventilator - associated pneumonia infected with stenotrophomonas mahopbilia.
出处
《中国急救医学》
CAS
CSCD
北大核心
2007年第11期982-984,共3页
Chinese Journal of Critical Care Medicine
关键词
嗜麦芽窄食单胞菌
呼吸机相关性肺炎
抗生素
疗效
Stenotrophomonas mahophilia
Ventilator - associated pneumonia
Antibiotic
Curative effect