抗菌药与抗炎药的合理应用

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炎症分感染性与非感染性两类,治疗上二者有原则上区别。抗炎治疗不但要对症,更重要的是要对因方能收到良好疗效。炎症反应可分为两类,一是由细菌或病毒引起的有菌性炎症,又称感染,是临床发病率较高的一类疾病。近年来抗苗药物品种增加过快并不断更新换代,导致医疗费用上涨过猛,毒、副反应与继发反应多且严重。尤以第三代头孢引起的继发感染、出血与肠道菌群失调等常可造成病人死亡。对该类药物的合理应用人们尤为重视,正不断研究讨论争取得出正确的给药方案以挽救更多病人的生命。另一类为非细菌性炎症反应,其发病与局部反应,有时极易与前者相混淆,对该类疾病的治疗往往存在用药较多或滥用现象,下面将对该类炎症的治疗加以讨论。 一提起炎症反应人们首先联想到细菌感染而考虑使用抗菌药物治疗或预防投药。这样做认为保险,对治疗有益无益无害,错误认识与治疗导致抗菌药消耗过多。这不仅造成医疗费用浪费现象,而更易增加抗菌药引起的毒副反应,常因小失大使治疗复杂化发生滥用药物之苦,如有效鉴别有菌炎症与无菌炎症而区别治疗,常可收到事半功倍之效。 临床对于非细菌炎症的治疗多选用非甾体类消炎镇痛药如布洛芬、芬必得等。该类药物可与体内血 Inflammation points infectious and non-infectious two categories, the treatment of the two are in principle the difference. Anti-inflammatory treatment not only symptomatic, more important is to be able to receive good results on the side. Inflammatory reactions can be divided into two categories, one caused by bacteria or viruses have bacterial inflammation, also known as infection, is a high incidence of clinical diseases. In recent years, anti-Miao drug varieties increased too fast and constantly updated, resulting in excessive medical costs rose, poisoning, side effects and secondary reactions and more serious. Especially in the third generation caused by cephalosporin secondary infection, bleeding and intestinal flora often can cause death. People pay more attention to the rational use of these drugs. They are constantly studying and discussing to get the correct dosing regimen to save more patients’ lives. The other is non-bacterial inflammatory reaction, its incidence and local reactions, and sometimes easily confused with the former, the treatment of such diseases often have more medication or abuse, the treatment of such inflammation will be discussed below. Mentioning the first inflammatory reaction People think of bacterial infection and consider the use of antimicrobial drugs to treat or prevent dosing. In doing so, insurance, harmless to treatment, misconceptions and treatments lead to excessive consumption of antimicrobials. This not only results in a waste of medical expenses, but also increases the side effects caused by the antibacterial drugs. It is often complicated by the treatment of small losers and the abuse of drugs. For example, it is often accepted to differentiate the treatment of bacterial inflammation and aseptic inflammation To work with multiplier effect. Clinical treatment of non-bacterial inflammation and more use of non-steroidal anti-inflammatory analgesics such as ibuprofen, fenbid and so on. Such drugs can be with blood in the body
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