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RESEARCH OF THE APPLICATION OF CLINDAMYCIN PHOSPHATE IN THE SUCCESSIVE LUNG INFECTION WITH ANAEROBIC BACTERIA AFTER RADIOTHERAPY 克林霉素磷酸在放射治疗后肺部连续厌氧菌感染中的应用研究
Pub Date : 2000-04-15 DOI: 10.3760/CMA.J.ISSN.1673-4904.2000.04.009
S. Yong
Objective:To investigate the therapeutic outcome and effect of Clindamycin Phosphate in the treatment of successive lung infection with anaerobic bacteria after radiotherapy.Materials and Methods:78 patients with malignancy contracting successive lung infection with anaerobic bacteria followed by radiotherapy were randomly divided into 2 groups,41 people (Clindamycin Phosphate treatment group) and 37 people (Miediling control group) Clindamycin phosphate,300~600 mg,Bid or Tid,10~14 days,Miediling 500~750 mg.Bid or once/8h,10~14 days.Result:(1)Both recovery and efficacious rate demonstratd a significant difference respectively between treatment group and control group(68.3% vs 45.9%) (P0.05),(80.5% vs 59.5%)(P0.05);(2)There existed a significant difference in the lethal rate to the bacteria between treatment group and control group(75.6% vs 54.1%)(P0.05);(3)Side effect incidence rate were 22% and 45.9% selarately (P0.05).Conclusion:The application of clindamycin phosphate in the treatment of successive lung infection with anaerobic bacteria after radiotherapy displayed a better effect and smaller side effect.
目的:探讨克林霉素磷酸酯治疗放射治疗后肺部继发性厌氧菌感染的疗效。材料与方法:78例恶性肿瘤连续肺部厌氧菌感染患者放疗后随机分为2组,41例(克林霉素磷酸治疗组)和37例(麦地灵对照组)克林霉素磷酸,300~600 mg,Bid或Tid,10~14天,麦地灵500~750 mg。结果:(1)治疗组的治愈率和有效率与对照组比较,分别为68.3%和45.9% (P0.05)、80.5%和59.5% (P0.05);(2)治疗组对细菌的致死率与对照组比较,分别为75.6%和54.1% (P0.05);(3)不良反应发生率分别为22%和45.9% (P0.05)。结论:应用磷酸克林霉素治疗放疗后肺部继发厌氧菌感染效果好,副作用小。
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引用次数: 0
THE CLINICAL ANALYSIS OF MIXED CONNECFIVE TISSUE DISEASE:A REPORT OF 30 CASES 混合性结缔组织病30例临床分析
Pub Date : 2000-03-15 DOI: 10.3760/CMA.J.ISSN.1673-4904.2000.03.012
Xuebing Feng
Objective:To evaluate the clinical features and correlation with disease course of mixed connective tissue disease (MCTD).Methods:30 patients with definite MCTD were analyzed retropectively by their clinical manifestation and immunological features,treatments and prognosis.They were assigned to two groups according to their courses of the disease (group A5 years and group B ≥5 years).Results:The primarily incipient symptoms of MCTD were Raynaud's phenomenon and arthralgia/arthritis.Morbidity of Raynaud's phenomenon in group A was statistically significantly higher than in group B(P0.01) while incidence of pulmonary hypertension or interstitial fibrosis was higher in group B (P0.05).Laboratroy indices showed that abnormal IgG and ESR were easy to be seen and renal dysfunction with high uria protein was found in 26.7% patients.Mortality was zero in group A while 25% in group B.Conclusion:MCTD is not a benign disease.With disease duration prolonged,incidence of vital organ dysfunction increases and mortality tends to elevate.
目的:探讨混合性结缔组织病(MCTD)的临床特点及其与病程的关系。方法:回顾性分析30例确诊MCTD患者的临床表现、免疫学特征、治疗及预后。根据病程分为两组(a组5年,B组≥5年)。结果:MCTD的早期症状主要为雷诺氏现象和关节痛/关节炎。A组雷诺现象发生率高于B组(P0.01), B组肺动脉高压、间质纤维化发生率高于B组(P0.05)。实验室指标显示,IgG和ESR易出现异常,26.7%的患者出现肾功能不全伴高尿蛋白。A组死亡率为零,b组死亡率为25%。结论:MCTD不是良性疾病。随着病程的延长,重要器官功能障碍的发生率增加,死亡率有升高的趋势。
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引用次数: 0
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中国医师进修杂志
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