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目的探讨上呼吸道感染者合理应用抗生素的临床疗效情况。方法选取本院在2009年11月～2011年1月期间收治的存在细菌感染上呼吸道患者286例,全部进行常规对症治疗,同时给予合理抗生素治疗,对本组患者的临床资料进行回顾性总结分析。结果单用一种抗生素治疗102例(占35.66%),二联治疗157例(占54.89%),三联治疗27例(占9.44%),没有四联或以上治疗病例;本组抗生素治疗使用主要涉及到5大类17种抗生素,使用频度最高的前5位抗生素为青霉素、阿莫西林、氨苄西林、头孢克洛、阿奇霉素;主要给药方式为静脉治疗和口服治疗,其中静脉给药治疗209例(占73.08%),口服给药77例(占26.92%)。本组疗效优133例(占46.50%),疗效良144例(占50.35%),疗效中8例(占2.8%),疗效差1例(占0.35%),疗效优良率96.85%。结论门诊治疗上呼吸道感染患者,在常规对症的基础上,根据患者的实际感染情况给予合理抗生素治疗可以缩短治疗时间,具有显著的临床疗效,值得推广。
Objective To investigate the clinical effect of rational use of antibiotics in patients with upper respiratory tract infection. Methods Totally 286 patients with upper respiratory tract bacterial infection were selected from November 2009 to January 2011 in our hospital. All the patients were treated with conventional symptomatic treatment and received reasonable antibiotics. The clinical data of this group were retrospectively analyzed. Results A single antibiotic treatment of 102 cases (35.66%), two combined treatment of 157 cases (54.89%), triple therapy in 27 cases (9.44%), there is no quadruple or above treatment; antibiotic treatment in this group using the main Involving the five major categories of 17 kinds of antibiotics, the top five antibiotics used for the most frequent penicillin, amoxicillin, ampicillin, cefaclor, azithromycin; the main mode of administration for intravenous and oral administration, including intravenous drug treatment 209 cases (73.08%), oral administration of 77 cases (26.92%). This group of excellent effect in 133 cases (46.50%), 144 cases of good effect (50.35%), 8 cases (2.8%), poor efficacy in 1 case (0.35%), excellent effect rate of 96.85%. Conclusion Outpatient treatment of upper respiratory tract infection patients, on the basis of conventional symptomatic, according to the actual infection of patients with reasonable antibiotic treatment can shorten the treatment time, with significant clinical efficacy, it is worth promoting.