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目的探讨社区获得性肺炎(CAP)两种治疗方法的疗效及可行性。方法将87例无并发症的CAP患者随机分为实验组和对照组,实验组予以抗生素静滴3~5 d,病情明显改善后,改为院外口服抗生素序贯疗法,疗程11 d。对照组全程(11 d)静脉使用抗生素,所有病人均在门诊随诊治疗,比较两组患者的临床疗效、留观时间、治疗费用等指标。结果两组临床疗效差异无统计学意义(P(0.05),实验组的抗生素治疗费用、留观时间、总治疗费用均明显低于对照组(P(0.01)。结论对无并发症的CAP患者早期使用门诊观察-院外口服序贯疗法是有效、安全、经济的治疗方法,值得在基层医院应用。
Objective To investigate the efficacy and feasibility of two methods of community-acquired pneumonia (CAP). Methods Eighty-seven patients with CAP without complications were randomly divided into experimental group and control group. In the experimental group, antibiotics were intravenously dripped for 3 to 5 days. After the condition was significantly improved, sequential oral antibiotic therapy was given to the hospital for 11 days. All the patients in the control group were treated with intravenous antibiotics in the whole process (11 days). All the patients were followed up in the clinic. The clinical curative effect, observation time and treatment cost were compared between the two groups. Results There was no significant difference in clinical efficacy between the two groups (P (0.05)). The antibiotic treatment cost, observation time and total treatment cost in the experimental group were significantly lower than those in the control group (P <0.01) Early use of outpatient observation - Out-of-hospital oral sequential therapy is an effective, safe and economical treatment that deserves application in primary hospitals.