{"id":17416,"date":"2019-07-02T05:02:02","date_gmt":"2019-07-01T21:02:02","guid":{"rendered":"http:\/\/csccm.org.cn\/?p=17416"},"modified":"2019-07-10T07:28:20","modified_gmt":"2019-07-09T23:28:20","slug":"icu-management-practice-%e9%98%bf%e5%a5%87%e9%9c%89%e7%b4%a0%e5%8f%af%e8%83%bd%e5%87%8f%e5%b0%91aecopd%e7%9a%84%e6%b2%bb%e7%96%97%e5%a4%b1%e8%b4%a5%ef%bc%88%e8%af%91%e6%96%87%ef%bc%89","status":"publish","type":"post","link":"https:\/\/csccm.org.cn\/?p=17416","title":{"rendered":"[ICU Management &#038; Practice]: \u963f\u5947\u9709\u7d20\u53ef\u80fd\u51cf\u5c11AECOPD\u7684\u6cbb\u7597\u5931\u8d25\uff08\u8bd1\u6587\uff09"},"content":{"rendered":"\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/healthmanagement.org\/uploads\/from_cloud\/cw\/00114718_cw_image_wi_ba1a4109950f6877338e8662ccc25d80.jpg\" alt=\"\"\/><\/figure>\n\n\n\n<p>\u5c0f\u5242\u91cf\u963f\u5947\u9709\u7d20\u53ef\u80fd\u51cf\u5c11COPD\u6025\u6027\u52a0\u91cd\u4f4f\u9662\u60a3\u8005\u7684\u6cbb\u7597\u5931\u8d25\u3002\u8fd9\u662fAmerican Journal of Respiratory and Critical Care Medicine\u6742\u5fd7\u5728\u7ebf\u53d1\u8868\u7684\u4e00\u9879\u591a\u4e2d\u5fc3\u968f\u673a\u5bf9\u7167\u8bd5\u9a8c\u7684\u7ed3\u679c\u3002<\/p>\n\n\n\n<p>\u65e2\u5f80\u7814\u7a76\u8868\u660e\uff0c\u963f\u5947\u9709\u7d20\u80fd\u591f\u9884\u9632COPD\u7684\u6025\u6027\u52a0\u91cd\u3002\u7136\u800c\uff0c\u5c1a\u4e0d\u6e05\u695a\u8fd9\u79cd\u6297\u751f\u7d20\u5982\u4f55\u80fd\u591fCOPD\u6025\u6027\u52a0\u91cd\u7684\u4f4f\u9662\u60a3\u8005\u5f3a\u5316\u6cbb\u7597\u7684\u9700\u6c42\uff0c\u6216\u8005\u5728\u4e0a\u8ff0\u60a3\u8005\u51fa\u9662\u540e\u4e3a\u4f55\u80fd\u591f\u51cf\u5c11\u6025\u6027\u52a0\u91cd\u7684\u98ce\u9669\u3002<\/p>\n\n\n\n<p>\u5728\u65b0\u7684\u7814\u7a76\u4e2d\uff0c\u5373\u6bd4\u5229\u65f6\u963f\u5947\u9709\u7d20\u6cbb\u7597COPD\u52a0\u91cd\u4f4f\u9662\u60a3\u8005\u7814\u7a76(BACE)\uff0c\u9664\u4f4f\u9662\u671f\u95f4\u7684\u5176\u4ed6\u7528\u836f\u5916\uff0c\u60a3\u8005\u4f7f\u7528\u5c0f\u5242\u91cf\u963f\u5947\u9709\u7d20\uff0c\u5e76\u5728\u51fa\u9662\u540e\u7ee7\u7eed\u4f7f\u7528\u5c0f\u5242\u91cf\u963f\u5947\u9709\u7d203\u4e2a\u6708\u3002\u6839\u636e\u7814\u7a76\u8005\u7684\u8bf4\u6cd5\uff0c\u4e0e\u6807\u51c6\u6cbb\u7597\u76f8\u6bd4\uff0c\u8fd9\u79cd\u7b56\u7565\u80fd\u591f\u51cf\u5c11COPD\u60a3\u8005\u7684\u6cbb\u7597\u5931\u8d25\u7387\u3002\u5728\u8fd9\u9879\u7814\u7a76\u4e2d\uff0c\u6cbb\u7597\u5931\u8d25\u5b9a\u4e49\u4e3a\u9700\u8981\u4f7f\u7528\u5168\u8eab\u6027\u76ae\u8d28\u6fc0\u7d20\u548c\uff08\u6216\uff09\u6297\u751f\u7d20\u8fdb\u884c\u5f3a\u5316\u6cbb\u7597\uff0c\u60a3\u8005\u6536\u5165ICU\u6216\u51fa\u9662\u540e\u518d\u6b21\u5165\u9662\uff0c\u53ca\u5168\u56e0\u75c5\u6b7b\u7387\u3002<\/p>\n\n\n\n<p>\u7814\u7a76\u5171\u7eb3\u5165\u6bd4\u5229\u65f620\u5bb6\u533b\u9662\u7684301\u540d\u60a3\u8005\uff0c\u8fd9\u4e9b\u60a3\u8005\u88ab\u968f\u673a\u5206\u4e3a\u963f\u5947\u9709\u7d20\u7ec4 (n = 147) \u6216\u5b89\u6170\u5242\u7ec4 (n=154)\uff0c\u540c\u65f6\u5e94\u7528\u4f7fCOPD\u6025\u6027\u52a0\u91cd\u75c5\u60c5\u7f13\u89e3\u7684\u5176\u4ed6\u836f\u7269\u3002\u963f\u5947\u9709\u7d20\u7ec4\u60a3\u8005\u4f4f\u9662\u671f\u95f4\u4f7f\u7528\u963f\u5947\u9709\u7d20500 mg\/\u5929\u6301\u7eed3\u5929\uff0c\u51fa\u9662\u540e\u7ee7\u7eed\u670d\u7528\u963f\u5947\u9709\u7d20250 mg\uff0c\u6bcf\u54682\u6b21\uff0c\u6301\u7eed3\u4e2a\u6708\u3002<\/p>\n\n\n\n<p>\u603b\u4e4b\uff0c\u963f\u5947\u9709\u7d20\u7ec4\u6cbb\u7597\u5931\u8d25\u738749%\uff0c\u5b89\u6170\u5242\u7ec4\u4e3a60%\u3002\u7531\u4e8eBACE\u7814\u7a76\u672a\u80fd\u8fbe\u5230500\u540d\u53d7\u8bd5\u8005\u7684\u76ee\u6807\uff0c\u56e0\u6b64\uff0c\u672c\u7814\u7a76\u5bf9\u4e8e\u4e3b\u8981\u9884\u540e\u7ec8\u70b9\u2014\u81f3\u6cbb\u7597\u5931\u8d25\u7684\u65f6\u95f4\u2014\u4e0d\u80fd\u8bc1\u5b9e\u7edf\u8ba1\u5b66\u7684\u663e\u8457\u5dee\u5f02\u3002<\/p>\n\n\n\n<p>\u8bd5\u9a8c\u5176\u4ed6\u7684\u91cd\u8981\u53d1\u73b0\u5305\u62ec\uff1a<\/p>\n\n\n\n<ul><li>\u4e0e\u5b89\u6170\u5242\u7ec4\u76f8\u6bd4\uff0c\u6cbb\u7597\u7ec4\u60a3\u8005\u603b\u4f4f\u9662\u65e5\u51cf\u5c1124%\uff0cICU\u4f4f\u9662\u65e5\u51cf\u5c1174%<\/li><li>\u963f\u5947\u9709\u7d20\u7ec4\u75c5\u6b7b\u7387\u4f4e\u4e8e\u5b89\u6170\u5242\u7ec4\uff1a2% vs. 4%<\/li><li>\u4e0d\u5438\u70df\u8005\u6cbb\u7597\u83b7\u76ca\u66f4\u660e\u663e\uff1b\u5bf9\u4e8e\u5438\u70df\u8005\u800c\u8a00\uff0c\u5c0f\u5242\u91cf\u963f\u5947\u9709\u7d20\u6ca1\u6709\u6216\u4ec5\u6709\u5f88\u5c11\u83b7\u76ca<\/li><\/ul>\n\n\n\n<p>\u6839\u636e\u7814\u7a76\u8005\u7684\u4ecb\u7ecd\uff0cBACE\u8bd5\u9a8c\u8fd8\u5bf93\u4e2a\u6708\u672b\u505c\u7528\u963f\u5947\u9709\u7d20\u7684\u6548\u679c\u8fdb\u884c\u4e86\u7814\u7a76\u3002\u7ed3\u679c\u663e\u793a\uff0c\u6297\u751f\u7d20\u7684\u4e34\u5e8a\u83b7\u76ca\u57286\u4e2a\u6708\u540e\u9010\u6b65\u6d88\u5931\u3002\u8fd9\u4e00\u53d1\u73b0\u63d0\u793a\uff0c\u53ef\u80fd\u9700\u8981\u5ef6\u957f\u7597\u7a0b\u4ee5\u4fdd\u6301\u4e34\u5e8a\u7597\u6548\u3002\u00a0<\/p>\n\n\n\n<p>\u5c3d\u7ba1\u672c\u8bd5\u9a8c\u7684\u6837\u672c\u91cf\u4e0d\u8db3\u4ee5\u663e\u793a\u4e3b\u8981\u9884\u540e\u7ec8\u70b9\u7684\u7edf\u8ba1\u5b66\u5dee\u5f02\uff0c\u5176\u7ed3\u679c\u4ecd\u7136\u63d0\u793a\uff0c\u201c\u5bf9\u4e8e\u75c5\u60c5\u6700\u4e3a\u4e25\u91cd\u7684COPD\u60a3\u8005\uff0c\u6211\u4eec\u7684\u7b56\u7565\u80fd\u591f\u7f29\u77ed\u4f4f\u9662\u65f6\u95f4\u53caICU\u4f4f\u9662\u65f6\u95f4\uff0c\u51cf\u5c11\u6025\u6027\u53d1\u4f5c\u590d\u53d1\u7684\u98ce\u9669\uff0c\u201d\u672c\u7814\u7a76\u7684\u8d44\u6df1\u4f5c\u8005Leuven\u5927\u5b66\u533b\u9662\u547c\u5438\u79d1\u533b\u751f\u53caKU Leuven\u5185\u79d1\u5b66\u6559\u6388Wim Janise\u535a\u58eb\u8c08\u5230\u3002<\/p>\n\n\n\n<p>Source: American Thoracic Society&nbsp;<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">References:<\/h4>\n\n\n\n<p>Vermeersch K, Gabrovska M, Janssens W et al. - On behalf of the BACE trial investigators (2019)&nbsp;<a href=\"https:\/\/doi.org\/10.1164\/rccm.201901-0094OC\" target=\"_blank\" rel=\"noreferrer noopener\">Azithromycin during Acute COPD Exacerbations Requiring Hospitalization (BACE): a Multicentre, Randomized, Double\u2010blind, Placebo\u2010controlled Trial.<\/a>&nbsp;Am J Respir Crit Care Med; Published Online 03 May 2019.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u5c0f\u5242\u91cf\u963f\u5947\u9709\u7d20\u53ef\u80fd\u51cf\u5c11COPD\u6025\u6027\u52a0\u91cd\u4f4f\u9662\u60a3\u8005\u7684\u6cbb\u7597\u5931\u8d25\u3002\u8fd9\u662fAmerican Journal of Resp [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[24,23],"tags":[],"_links":{"self":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/17416"}],"collection":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=17416"}],"version-history":[{"count":1,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/17416\/revisions"}],"predecessor-version":[{"id":17417,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/17416\/revisions\/17417"}],"wp:attachment":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=17416"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=17416"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=17416"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}