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中国药物评价 ›› 2021, Vol. 38 ›› Issue (1): 30-33.

• 药品评价 • 上一篇    下一篇

伏立康唑治疗侵袭性真菌病临床疗效及其影响因素研究

杨焕芝1, 李志伟2, 夏金凤3, 高梦婷3, 陈国兵4, 张惠锋4*   

  1. 1. 昆明市第一人民医院药学部,云南 昆明 650034;
    2. 昆明市第一人民医院重症医学科,云南 昆明 650034;
    3. 昆明医科大学,云南 昆明 650500;
    4. 云南省第一人民医院/昆明理工大学附属医院, 云南 昆明 650000
  • 收稿日期:2020-10-26 修回日期:2021-02-04 出版日期:2021-02-28 发布日期:2021-02-28
  • 基金资助:

    云南省教育厅科学研究基金项目(2019J1297);昆明市“科技保障民生发展计划”项目(2019KJJH080);

    昆明市卫健委局级卫生科研项目(2020-13-01-113);

    昆明市卫生科技人才培养项目[2020-SW(省)-13];

    云南省卫生健康委员会医学后备人才培养项目(H-2017059, H-2018078)

Clinical Efficacy and Influencing Factors of Voriconazole in the Treatment of Invasive Fungal Diseases

  1. 1. Department of Pharmacy, Kunming Municipal First People′s Hospital, Yunnan Kunming 650034, China;
    2. Intensive Care Unit, Kunming Municipal First People′s Hospital, Yunnan Kunming 650034, China;
    3. College of Pharmacy, Kunming Medical University, Yunnan Kunming 650500, China;
    4. The First People′s Hospital of Yunnan Province/ The Affiliated Hospital of Kunming University of Science and       Technology,Yunnan Kunming 650000, China
  • Received:2020-10-26 Revised:2021-02-04 Online:2021-02-28 Published:2021-02-28
  • Contact: yang huanzhi E-mail:zhanghuifeng92@163.com

摘要: 目的:评价伏立康唑治疗侵袭性真菌病的临床疗效,并探讨影响其疗效的相关因素。方法:回顾性分析某院2018年1月1日至12月31日使用伏立康唑并诊断为侵袭性真菌病的住院患者资料,评价伏立康唑治疗侵袭性真菌病临床疗效,并对影响因素进行单因素及多因素Logistic回归分析。结果:96例患者感染位于肺部的为74.53%。临床治疗总有效率为63.54%。单因素分析结果显示,住院天数、伏立康唑使用天数和合并低蛋白血症是影响伏立康唑疗效的因素(P<0.05)。多因素Logistic回归分析表明,伏立康唑使用天数是影响其疗效的保护因素,低蛋白血症是影响其疗效的危险因素。结论:伏立康唑用于治疗侵袭性真菌病有较好的疗效,临床治疗疗程要充足,低蛋白血症影响患者预后,临床治疗中应及时纠正。
    

关键词: font-size:medium, ">伏立康唑;侵袭性真菌病;临床疗效;影响因素

Abstract: Objective: To evaluate the clinical efficacy of Voriconazole in the treatment of invasive fungal diseases and to explore the related factors. Methods: Retrospective analysis was performed on the clinical data of inpatients diagnosed with invasive fungal disease who were given voriconazole on January 1, 2018 and December 31, 2018 in hospital. The clinical efficacy of voriconazole in the treatment of invasive fungal disease was evaluated and the influencing factors were analyzed by univariate and multivariate Logistic regression. Results:The site of infection in the lungs was 74.53% in 96 patients.The total effective rate of clinical treatment was 63.54%.The results of univariate analysis showed that the length of hospital stay, the number of days of voriconazole use and the combination of hypoproteinemia were the factors affecting the efficacy of Voriconazole (P<0.05).Multivariate Logistic regression analysis showed that the number of days of use was the protective factor affecting the curative effect of Voriconazole, and hypoproteinemia was the risk factor affecting the curative effect of Voriconazole. Conclusion: Voriconazole has a good curative effect in the treatment of invasive fungal diseases. The course of clinical treatment should be sufficient. Hypoproteinemia affects the prognosis of patients and the clinical treatment should be timely corrected.
 

Key words: font-size:medium, ">Voriconazole; Invasive fungal disease; Clinical efficacy;Influence factors

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