摘要
目的 :探讨采用不同抗生素联合治疗方案治疗急性盆腔炎的临床效果。方法 :对伴有高热、中热、低热和无热等四组急性盆腔炎患者分别采用不同抗生素组合治疗 ,观察对比每组患者体温恢复正常、腹痛消失、血象恢复正常所需要的时间。结果 :高热组中采用不同二组抗生素治疗的患者在体温恢复正常、腹痛消失所需时间方面均有高度显著性差异 (P<0 .0 1)。中热组中采用不同二组抗生素治疗的患者在体温恢复正常、腹痛消失、血象恢复正常方面亦有显著性差异 (P<0 .0 5 )。低热组中采用不同二组抗生素治疗的患者在体温恢复正常方面有显著性差异 (P<0 .0 5 )。结论 :对于伴有高热的急性盆腔炎患者应首选第三代头孢菌素加灭滴灵进行治疗 ,在中、低及无热组中 ,联合使用青霉素加氨苄青霉素加灭滴灵等常规普通抗生素能够满足临床需要。
Objectives:To investigate clinical effect of different antibiotic therapy on acute inflammatory disease of pelvis.Methods:Patients were divided into 4 groups based on their fever,i.e,high fever (T≥39℃),moderate pever (39℃>T≥38℃),low fever (T<38℃) and no fever.And patients in different groups received different combination of antibiotics.Abdominal pain,body temperature,blood routine were observed in patients.Results:Patients in high fever group received ceftriaxone and metromidazole under went faster normalization of temperature and later dissolvtion of abdominalpain than those received penicillin,ampicillin and metronidazole ( P <0.01).Similar effects were observed both in moderate and low fever groups. Conclusions:Ceftriaxone and metromidazole is good for patients with high fever,but penicillin tampicllin tmerronidazole could meet clinical need in patients with moderate,low and no fever.
出处
《实用妇产科杂志》
CAS
CSCD
北大核心
2000年第5期260-261,共2页
Journal of Practical Obstetrics and Gynecology
关键词
急性盆腔炎
抗生素
药物疗法
合理用药
临床分析
The acute pelvitis of pelvic cavity
antibiotic
acute abdoment
combined treatment
