摘要
目的:比较"急诊-留观-院外序贯治疗"模式下治疗社区获得性肺炎(CAP)的效果和费用的关系,寻求廉价有效的CAP治疗方案。方法:分析广东省人民医院和广州市交通医院急诊、门诊收治使用"急诊-留观-院外序贯治疗"模式治疗的CAP患者92例,按使用药物费用不同分为药费>1000元(A组,52例)和药费<1000元(B组,40例)两组。比较两组患者5d缓解率、治疗失败率、副作用发生率、死亡率。结果:A、B两组患者在5d缓解率、治疗失败率,副作用发生率、死亡率方面无明显差异(P>0.05)。结论:"急诊-留观-院外序贯治疗"模式治疗CAP,使用昂贵抗生素不一定能增加疗效,使用相应适应证的价廉抗生素同样有效。
Objective： To fine an effective and cheap treatment method for CAP patients, this retrospective study is to compare the different clinical efficacy ＆ economic value of the varied treatment practices for CAP patients treated with same therapeutic strategy E-O-S： initial antibiotic dose in emergency and then treated in-observation room-switch to oral antibiotics in ambulatory setting. Methods： 92 CAP cases treated with E-O-S were collected from Guangdong provincial people＇s pospital and Guangdong provincial transport hospital and divided into two subgroups according to different medicine costs： A group with medicine cost more than 1000 yuan, B group less than 1000 yuan. Investigated the clinical results such as the resolution rate of morbidity （≤5 days）, treatment failure rate, adverse events rate and mortality. Results： There were no significant difference in the resolution rate of morbidity （≤5 days）, treatment failure rate, adverse events rate and mortality. Conclusion： High cost and expensive medicine are not necessary for all patients, suitable and cheap antibiotics are effective for most of CAP patients.
出处
《岭南急诊医学杂志》
2007年第5期345-346,共2页
Lingnan Journal of Emergency Medicine
基金
广东省科技计划项目(项目编号2004B33701019)
关键词
社区获得性肺炎
治疗
效价
费用
community acquired pneumonia
treatment
efficacy
cost
