痨康汤治疗阴虚毒瘀型复治肺结核48例临床观察  

Effect of Laokang Decoction on the Recurrent Pulmonary Tuberculosis in the TCM Syndrome of Yin Deficiency with Toxic Stasis—Clinical Observation on 48 Patients

作　　者：邓红霞[1] 刘艳科[1] 蒋之[1] 

机构地区：[1]长沙市中心医院胸科中心一病室

出　　处：《中医杂志》2010年第9期801-803,829,共4页Journal of Traditional Chinese Medicine

基　　金："十一五"国家科技重大专项课题资助项目(2009ZX1005-018)

摘　　要：目的探讨痨康汤治疗阴虚毒瘀型复治肺结核的临床疗效。方法将96例符合阴虚毒瘀型复治肺结核标准的患者随机分为治疗组和对照组,每组48例。对照组给予常规抗结核西药治疗,治疗组在对照组治疗的基础上,给予中药痨康汤。两组均连续治疗2周为1个疗程,12个疗程后统计疗效。观察两组患者综合临床疗效、症状消失情况、X线改善情况、痰涂片和痰培养转阴情况。结果治疗组综合临床疗效总有效率和强化治疗后(治疗后15天)症状消失情况优于对照组(P<0.05),X线显示病灶及空洞、痰涂片和痰培养转阴情况与对照组比较,有统计学差异(P<0.05)。结论痨康汤治疗阴虚毒瘀型复治肺结核临床疗效显著,安全可靠。Objective To study the therapeutic effect of Laokang Decoction （Herbal decoction for pulmonary tuberculosis） on the recurrent pulmonary tuberculosis in the TCM syndrome of yin deficiency with toxic stasis.Methods Totally 96 enrolled patients were randomized into treatment group and control group,48 cases in each.The control group was given routine treatment with the drugs of modern medicine,based on which the treatment group was administered Laokang Decoction for 12 courses in succession,2 weeks as one course.Then,the comprehensive effect,symptom-disappearance after 15 days,improvement in X-ray examination,sputum smear,and negative-turning in sputum culture were observed.Results Compared with the control group,the treatment group was superior in total effective rate and symptom-disappearance after intensive treatment （P〈0.05）.Meanwhile,there was significant difference in the focus and cavity of pulmonary tuberculosis shown in X-ray examination,sputum smear and negative-turning in sputum culture between the two groups （P〈0.05）.Conclusion Laokang Decoction is effective and safe for the treatment of recurrent pulmonary tuberculosis in the TCM syndrome of yin deficiency with toxic stasis.

关 键 词：痨康汤 阴虚毒瘀 复治肺结核 抗结核药 

分 类 号：R259[医药卫生—中西医结合]