丙种球蛋白在治疗慢性阻塞性肺疾病合并真菌感染中的作用
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朱建荣

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R563.9

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Role of immunoglobulin in treating chronic obstructive pulmonary disease with fungal infection
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    摘要:

    目的探讨静脉用丙种球蛋白(IVIG)治疗慢性阻塞性肺疾病(COPD)合并真菌感染的临床价值。方法72例临床诊断为COPD合并真菌感染的患者入选,被随机分为常规组和干预组,每组36例。常规组给予抗感染、平喘及抗真菌药物治疗;干预组在上述治疗基础上,加用IVIG,每日1次,每次10 g。根据患者的临床症状改善情况,进行疗效评价,记录患者住院时间及预后。结果干预组的治疗有效率为88.89%(32/36),明显高于常规组的66.67%(24/36);平均住院时间为(12.62±7.51) d,明显短于常规组的(20.81±6.92) d;病死率为5.56%(2/36),低于常规组的22.22%(8/36),差异均有统计学意义(均P<0.05)。结论IVIG治疗COPD合并真菌感染可提高临床疗效,缩短患者住院时间,降低病死率。

    Abstract:

    ObjectiveTo explore the clinical effect of intravenous immunoglobulin(IVIG)on chronic obstructive pulmonary disease(COPD) and fungal infection. MethodsSeventytwo COPD patients with fungal infection were randomly and equally divided into conventional and intervention group. Patients in conventional group were treated with common schedule for COPD plus antifungal agents; patients in intervention group received 10 g/d IVIG besides routine therapy. Length of hospital stay and prognosis were recorded, and therapeutic effectiveness were evaluated. ResultsThe effectiveness rate of intervention group was significantly higher than that of conventional group ([88.89%,32/36] vs [66.67%,24/36]);the average length of hospital stay was significantly shorter than conventional group ([12.62±7.51] d vs [20.81±6.92] d), and mortality was lower than conventional group ([5.56%,2/36] vs [22.22%,8/36]), the differences were statistically significant (P<0.05). ConclusionIVIG for treating COPD with invasive pulmonary fungal infection can improve therapeutic efficacy, shorten length of hospital stay and decrease mortality rate.

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朱建荣,万小蔹.丙种球蛋白在治疗慢性阻塞性肺疾病合并真菌感染中的作用[J]. 中国感染控制杂志,2014,13(5):281-283. DOI:10.3969/j. issn.1671-9638.2014.05.007.
ZHU Jianrong, WAN Xiaolian(Wuxi People's Hospital, Wuxi, et al. Role of immunoglobulin in treating chronic obstructive pulmonary disease with fungal infection[J]. Chin J Infect Control, 2014,13(5):281-283. DOI:10.3969/j. issn.1671-9638.2014.05.007.

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  • 收稿日期:2013-11-12
  • 最后修改日期:2014-01-22
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  • 在线发布日期: 2014-05-30
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