Clinical effect of immune therapy on 72 cases of cirrhosis complicated with infection
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摘要: 目的 观察免疫疗法对肝硬化合并感染患者的临床治疗效果,为其预防和治疗提供一定的临床参考。 方法 对2015年1月-2016年1月收治天台中医院的72例肝硬化合并感染患者随机分组,并分别给予常规抗生素治疗(对照组,36例)或在此基础上加用免疫制剂(观察组,36例)。观察治疗前后的肝功能、生化指标和早期感染控制率、并发症情况,应用SPSS 17.0统计学软件进行数据分析,P<0.05为差异有统计学意义。 结果 治疗后2组在总胆红素、白蛋白、丙氨酸氨基转移酶、总胆固醇、凝血酶原时间等指标均较其治疗前有显著性改善(P<0.05),2组差异无统计学意义(P>0.05)。治疗后,观察组早期感染控制率为83.33%,对照组为47.22%,2组差异有统计学意义(P<0.05)。观察组并发症发生率为5.56%,对照组为22.22%,2组差异有统计学意义(P<0.05)。随访发现,观察组1例死亡(占2.78%),对照组3例死亡(占8.33%),但2组比较差异无统计学意义(P>0.05)。 结论 肝硬化合并感染患者应用免疫制剂联合抗生素治疗,可显著提高早期感染控制率,二重感染等合并症的发生率更低,具有较高的临床应用价值。Abstract: Objective To investigate the clinical effect of immunotherapy on patients with liver cirrhosis complicated with infection,so as to improve its prevention and treatment. Methods Total 72 cases of liver cirrhosis combined infection in our hospital between January,2015 and January,2016 were enrolled and randomly divided into control group (36 cases) and observation group (36 cases).Both group received the routine antibiotic treatment,while the observation group received additional immune agents.The liver function and biochemical markers before and after treatment,and the early control rate of infection and incidence of complications were observed.SPSS 17.0 statistical software was used for data analysis,when P<0.05,the difference was statistically significant. Results After the treatment,the total bilirubin,albumin,alanine aminotransferase,total cholesterol,prothrombin time and other indicators were significantly improved in both groups (P<0.05);there was no significant difference between the two groups (P>0.05).After the treatment,the early infection control rate of the observation group was 83.33%,of the control group was 47.22%,the difference was statistically significant (P<0.05).The incidence of complication of the observation group was 5.56%,of the control group was 19.44%,and the difference was statistically significant (P<0.05).During the follow-up,there was 1 patient died (2.78%) in the observation group and 3 patients died in the control group (8.33%),the difference was statistically significant (P<0.05). Conclusion The combination of immune agents and antibiotics for patients with liver cirrhosis complicated with infection can significantly improve the early infection control rate,decrease the incidence of complications such as double infection,and has high clinical application value.
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Key words:
- Liver cirrhosis /
- Infection /
- Immune therapy /
- Clinical effect
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