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利奈唑胺治疗ICU重症感染27例
向淑麟,熊 滨
530021 南宁,广西壮族自治区人民医院重症医学科
摘要:
[摘要] 目的 探讨利奈唑胺在ICU重症感染患者中应用的有效性及安全性。方法 对入住ICU的27例重症感染患者给予利奈唑胺0.6 g,2次/d,观察用药前和用药72 h后的体温、血常规、肝肾功能等指标的变化并进行对比分析,以评价药物的有效性及安全性。结果 27例患者中19例好转,8例死亡或自动出院,临床有效率为70.37%。使用利奈唑胺72 h后,患者体温血象均较前下降,血小板计数稍有下降,肝肾功能无明显变化,所观察的指标治疗前后差异无统计学意义(P>0.05)。结论 利奈唑胺在重症感染患者中短期应用是安全有效的,长期应用的药物副作用需要进一步观察。
关键词:  利奈唑胺  重症感染  药物安全性
DOI:10.3969/j.issn.1674-3806.2015.06.07
分类号:R 978.1
基金项目:广西卫计委科研课题(编号:Z2013356)
Analysis of linezolid in the treatment of 27 patients with severe sepsis in intensive care unit
XIANG Shu-lin, XIONG Bin
Department of Critical Care Medicine, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
Abstract:
[Abstract] Objective To analyze the clinical efficacy and safety of linezolid in the treatment of severe sepsis in intensive care unit.Methods Twenty-seven patients with severe sepsis were treated with linezolid 0.6 gram twice per day and the blood routine examination, liver and renal function were tested before and 72 h after the medication to analyze the efficiency and safety of the treatment.Results The clinical efficacy rate was 70.37%, and there were no significant differences in the blood routine examination, liver and renal function before and after 72 hours′treatment of linezolid(P>0.05).Conclusion Linezolid has conspicuous effectiveness and safety in the treatment of severe sepsis within 72 h in intensive care unit.
Key words:  Linezolid  Severe sepsis  Drug safety