中西医结合治疗结核性渗出性胸膜炎36例疗效观察  

Observation of Therapeutic Effects on 36 Cases of Evacuative Tuberculous Pleurisy Treated with Integrative Chinese and Western Medicine

作　　者：杨正志[1] 孙延康 

机构地区：[1]铜仁职业技术学院附属医院,贵州铜仁554300 [2]贵州省思南县民族中医院,贵州思南565100

出　　处：《世界中西医结合杂志》2009年第1期41-42,共2页World Journal of Integrated Traditional and Western Medicine

摘　　要：目的观察中西医结合治疗结核性渗出性胸膜炎的临床疗效。方法68例病例随机分为对照组32例,治疗组36例。对照组患者采用常规方法治疗,治疗组在对照组治疗的基础上加用补虚、活血、行气、利水中药治疗。1个月为1个疗程,2个疗程后观察临床疗效。结果两组病例治疗后胸腔积液消失时间、总有效率比较有显著性差异(P(0.05)治疗组优于对照组。结论中西医结合治疗结核性渗出性胸膜炎能促进胸腔积液吸收,防止胸膜粘连、增厚。Objective To study the therapeutic effect on evacuative tuberculous pleursy treated with integrative Chinese and western medicine. Methods 68 cases were randomly divided in two groups, 32 cases in control group and 36 cases in treatment group. Conventional treatment was adopted in two groups. But, in treatment group, Chinese herbal medicine was supplemented for replenishing deficiency, activating blood circulation and benefiting water metabolism. 1 month of treatment made 1 course. The therapeutic effect was managed statistically in 2 courses of treatment later. Results The significant differences were obtained in the disappearance time of pleural effusion and the total effective rate after treatment in the comparison between two groups （P〈0.05 ）. Conclusion Integrative Chinese and western medicine promotes pleural effusion absorption and prevents from pleural adhesion and thickening in evacuative tuberculous pleursy.

关 键 词：结核性渗出性胸膜炎 异烟肼 利福平 乙胺丁醇 吡嗪酰胺 

分 类 号：R521.7[医药卫生—内科学] R692.05[医药卫生—临床医学]