含左氧氟沙星方案对煤工尘肺结核疗效观察

    Efficacy of regimens containing levofloxacin on coal workers' pneumoconiosis-tuberculosis

    • 摘要: 目的:观察不同疗程含左氧氟沙星方案治疗煤工尘肺合并肺结核复治病例的疗效。方法:分别采用6SHRZV/12HRE与3SHRZV/9HRE方案分别治疗51例和50例煤工尘肺合并肺结核复治病例,观察治疗6个月及疗程结束后痰菌阴转率和疗程结束后X线胸片改变。结果:采用6SHRZV/12HRE治疗组疗程结束后痰菌阴转率为92.2%,明显优于3SHRZV/9HRE方案治疗组的78%(P<0.05),疗程结束时胸片好转情况亦明显优于3SHRZV/9HRE方案治疗组(P<0.05)。结论:复治煤工尘肺结核可应用6SHRZV/12HRE方案,不宜采用12个月或少于12个月方案。

       

      Abstract: Objective: To explore the curative curative effects of regimens containing levofloxacin with varied courses on coal workers'pneumoconiosis-tuberculosis.Methods: The curative effects were compared between 51 patients receiving the treatment scheme of 6SHRZV/12HRE and 50 patients receiving the treatment scheme of 3SHRZV/9HRE.The comparision included the sputum negative conversion rates of tuberculosis-bacillus at the end of the 6-month treatment and the whole treatment,as welll as the chest X-ray improvement after the course of treatment.Results: There was significant difference between the two groups(the treatment scheme of 6SHRZV/12HRE and 3SHRZV/9HRE) in the sputum negative conversion rates of tuberculosis-bacillus(92.2%,78%,respectively) at the end of the whole treatment(P<0.05).There was significant difference between the two groups in the chest x-ray improvement after the course of treatment(P<0.05).Conclusions: According to the evaluation for the curative effects of regimens including levofloxacin,the treatment scheme of 6SHRZV/12HRE is appropriate to coal workers'pneumoconiosis-tuberculosis.

       

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