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目的:通过对老年慢性阻塞性肺病合并肺部真菌感染患者临床治疗,了解其病因和后续治疗情况,对其用药进行指导。方法:对从2012年至2014年入院的70例老年慢性阻塞性肺病患者进行回顾性分析,观察和统计两组病患的抗生素的使用情况。结果:两组患者抗生素使用种类对比有显著差异,肺部真菌感染组患者明显高于非真菌感染组患者,两组对比有显著差异,具有统计学意义(P<0.05),两组患者抗生素使用时间比较;两组患者抗生素使用时间对比有显著差异,肺部真菌感染组患者明显长于非真菌感染组患者,两组对比有显著差异,具有统计学意义(P<0.05)。结论:在对老年慢性阻塞性肺疾病合并肺部真菌感染患者进行临床用药时,尽量以口服作为给药途径,以一种抗生素控制感染,避免多种药物联合使用,同时尽可能缩短抗生素给药疗程,以达到满意的治疗效果。
OBJECTIVE: To understand the etiology and follow-up of clinical treatment of chronic obstructive pulmonary disease in elderly patients with pulmonary fungal infection and to guide its medication. Methods: A retrospective analysis of 70 elderly patients with COPD admitted from 2012 to 2014 was conducted to observe and measure the use of antibiotics in both groups. Results: There were significant differences in the types of antibiotics used between the two groups. The patients with pulmonary fungal infection were significantly higher than those with non-fungal infection. There was significant difference between the two groups (P <0.05). The antibiotic use (P <0.05). There was significant difference in antibiotic use time between the two groups. The patients with pulmonary fungal infection were significantly longer than those with non-fungal infection. There was significant difference between the two groups (P <0.05). Conclusions: In the clinical treatment of senile chronic obstructive pulmonary disease patients with pulmonary fungal infection, try to take oral as the route of administration, with an antibiotic to control the infection, to avoid the combination of multiple drugs, while minimizing the administration of antibiotics Course of treatment in order to achieve satisfactory treatment.