ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾 疾病预防与控制 Disease Prevention and Control 医学学术期刊 月刊
2026-06-033 临床药物与手术治疗 2026, 2(06): 129-132

集采政策下抗菌药物在临床实践中的疗效与安全性评价

克拉玛依市独山子人民医院

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摘要

目的 本研究旨在评估集采前与集采中选抗菌药物在临床实践中的疗效与安全性。方法 采用回顾性分析方法,随机抽取我院2019年1月和2023年1月使用莫西沙星氯化钠注射液、注射用头孢曲松钠、注射用头孢哌酮钠舒巴坦钠、注射用哌拉西林钠他唑巴坦钠的患者各50例,分别归入集采前和集采后两组。比较治疗前后炎症指标白细胞(WBC)、中性粒细胞百分比(NEUT%)、C反应蛋白(CRP)、降钙素原(PCT)、白细胞介素-6(IL-6)、症状好转时间、治疗剂量与疗程、治疗有效率、细菌清除率及不良反应发生率。结果 四种药物在治疗有效率、细菌清除率和不良反应发生率方面,集采前后两组差异无统计学意义。结论 集采药品在临床疗效与安全性方面与集采前相当,可为临床合理用药和资源优化提供依据。

Abstract

Objective This study aimed to evaluate the efficacy and safety of selected antibiotics before and during centralized procurement in clinical practice. Methods Retrospective analysis method was used to randomly selected 50 patients who used moxifloxacin sodium chloride injection, ceftriaxone sodium for injection, cefoperazone sodium for injection and sulbactam sodium for injection, piperacillin sodium and tazobactam sodium for injection in our hospital in January 2019 and January 2023, respectively, and they were classified into two groups before and after collection. The inflammatory indexes of white blood cell(WBC), neutrophil percentage(NEUT%), C-reactive protein(CRP), procalcitonin(PCT), interleukin-6(IL-6), symptom improvement time, treatment dose and course of treatment, treatment efficiency, bacterial clearance rate and incidence of adverse reactions were compared before and after treatment. Results There was no significant difference in the effective rate, bacterial clearance rate and incidence of adverse reactions between the two groups before and after collection. Conclusion The clinical efficacy and safety of centralized drug collection are similar to those before centralized drug collection, which can provide basis for clinical rational drug use and resource optimization.

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[1]施晓萌,王理想,刘卓,等.集采政策下抗菌药物在临床实践中的疗效与安全性评价[J].疾病预防与控制,2026,2(06):129-132.