白介素-Ⅱ胸腔注射结合中药外敷治疗恶性胸腔积液的疗效观察  被引量:6

Clinical observation on treating malignant pleural effusion with interleukin (il) Ⅱ combined with TCM external application

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作  者:李林宇 纪国义[1] 李艳茹[1] 

机构地区:[1]吉林省四平市第一人民医院,吉林四平136000

出  处:《中医临床研究》2012年第19期89-90,共2页Clinical Journal Of Chinese Medicine

摘  要:目的:恶性肿瘤造成的胸腔积液一直是困扰肿瘤科医生的一个很难缠的问题,多年来很多医生都在千方百计地寻找解决的办法,但是疗效却难尽如人意,我们采用白介素-Ⅱ胸腔注射结合中药外敷治疗恶性胸腔积液,观察疗效,从而找到治疗胸腔积液简便易行的方法。方法:我们采用该方法共治疗了126例患者,胸水量从6.5~13.5cm,伴呼吸困难的82例,胸痛的56例。这些患者最少治疗2次,最多治疗5次,平均3次。治疗2~5周后评价疗效,我们以彩超下测量胸水直径缩小的厘米数做为疗效评定依据。结果:完全吸收的26例,占20.6%,胸水量减少50%的55例,占43.7%,胸水量减少20%~30%的23例,占18.3%,无效28例,占17.4%,总有效率为82.6%,(P<0.1)另外呼吸困难缓解的64例,占78%,胸痛缓解的52例,占92.9%(P<0.3)。结论:白介素-Ⅱ胸腔注射结合中药外敷治疗恶性胸腔积液,方法简便易行,并且疗效可靠,副作用少,适合推广。Objective: Malignant tumor caused by malignancy was a very tough problem plagued oncologist, many doctors are in leave no stone unturned to look for a solution, but it's hard to satisfactory, we use the interleukin (il) II combined with TCM external application to treat malignant pleural effusion, to observe the curative effect, so as to find treatment pleural effusion simple methods. Methods: We used this method for the treatment of 126 cases of patients, chest water from 6.5 to 13.5 cm, with difficulty breathing of the 82 cases of chest pain, 56 cases of chest pain. These patients were treated 2 times at least, most treatment 5 times, an average of three times. After 2-5 weeks treatment, to evaluate the effect, we treated the pleural effusion diameter narrowing the number of centimeters that measured by ultrasonography as the basis of efficacy evaluation. Results: Completely absorbed in 26 cases, accounting for 20.6%, the amount of chest water reduce 50% in 55 cases, accounting for 43.7%, the amount of chest water reduce 20%- 30% in 23 cases, accounting for18.3%, invalided in 28 cases, accounting for 17.4%, and the total efficiency was 82.6% (P〈0.1), other breathing difficulties of ease in 64 cases, accounting for 78%, 52 cases with chest pain eased, accounting for 92.9% (P〈0.3). Conclusion: The method of interleukin (il) II combined with TCM external application on treating malignant pleural effusion is simple and reliable, and less side effects and curative effect, suitable for promotion.

关 键 词:白介素-II 中药 外敷 恶性胸腔积液 

分 类 号:R331.55[医药卫生—人体生理学]

 

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