左氧氟沙星治疗支原体肺炎30例临床观察（临床医学论文资料）.docVIP

左氧氟沙星治疗支原体肺炎30例临床观察（临床医学论文资料） 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：左氧氟沙星治疗支原体肺炎30例临床观察 1 1 资料与方法 3 2 结果 4 3 讨论 5 文2：左氧氟沙星治疗下呼吸道感染的临床观察 6 1 临床资料 6 2 讨论 7 参考文摘引言： 8 原创性声明（模板） 9 文章致谢（模板） 9 正文 左氧氟沙星治疗支原体肺炎30例临床观察（临床医学论文资料） 文1：左氧氟沙星治疗支原体肺炎30例临床观察 Clinical observation of Levofloxacin in treating 30 cases with mycoplasmal pneumonia ZHANG Tiebiao Department of Respiratory Medicine， the Fit Hospital of Huairou District， Beijing 101400， China [Abstract] Objective: To investigate the effective treatment method of mycoplasmal pneumonia and to choose antibiotics reasonably. Methods: Clinical data of 52 cases with mycoplasmal pneumonia from January 2009 to December 2010 were collected and arranged， which were retrospectively analyzed. There were 22 cases in Azithromycin group， 30 cases in Levofloxacin group. The clinical curative effect of Azithromycin and Levofloxacin were analyzed. Results: The drug resistance of Azithromycin was increased， temperature of Azithromycin group was decreased slowly， and temperature of Levofloxacin group was decreased significantly， there was a statistically significant difference of the temperature between the two groups (P＜). The total effective rate of lung imaging absorption of Azithromycin group was %， which of Levofloxacin group was %， there was a statistically significant difference (χ2=， P＜). Conclusion: Clinical effect of mycoplasmal pneumonia in the treatment with Levofloxacin is better than Azithromycin， it is worthy of promotion in clinic. [Key words] Mycoplasmal pneumonia; Antibiotics; Levofloxacin; Azithromycin 有研究报道，支原体肺炎的发病率呈逐年上升趋势，支原体肺炎的治疗以往主要以大环内酯类抗生素为主，但由于大环内酯类抗生素的长期应用，使菌株对此类抗生素产生耐药性[1-5]。因此，寻求有效方法、合理应用抗生素治疗支原体肺炎是目前研究的重点。笔者通过观察采用大环内酯类抗生素阿奇霉素、喹诺酮类抗生素左氧氟沙星治疗支原体肺炎的疗效，旨在探讨支原体肺炎的有效治疗方法。现报道如下： 1 资料与方法 一般资料 收集整理2009年1月～2010年12月确诊为支原体肺炎患者52例的临床资料，按照治疗方法的不同分为两组，阿奇霉素组22例，其中，男9例，女13例，平均年龄（±）岁；左氧氟沙星组30例，其中，男12例，女18例，平均年龄（±）岁。两组患者在年龄、性别等方面比较，差异无统计学意义（P＞），具有可比性。 方法 支原体检测方法 颗粒凝集实验，特异性抗体滴定度＞1∶160。 影像学检查 52例患者均经过胸