难治性胸腔积液运用中西医结合治疗的效果  

Effect of Treatment of Refractory Pleural Effusion with Integrated Traditional Chinese and Western Medicine

作　　者：申磊 SHEN Lei(Liaoning Fengtian Hospital of Traditional Chinese Medicine,Shenyang 110000,China)

机构地区：[1]辽宁奉天中医院内四科,辽宁沈阳110000

出　　处：《中国医药指南》2020年第36期156-157,共2页Guide of China Medicine

摘　　要：目的探讨难治性胸腔积液运用中西医结合治疗的效果。方法选择2018年3月至2019年5月医院收治的70例难治性胸腔积液患者,根据不同的治疗方案分为对照组和研究组,每组35例。对照组实施西医治疗,研究组开展中西医结合治疗。比较两组的治疗效果。结果研究组治疗总有效率为97.14%,显著高于对照组的80.00%,差异有统计学意义(P<0.05)。研究组患者的住院时间、退热时间、胸水消失时间均短于对照组,差异均有统计学意义(P<0.05)。研究组患者出现胸膜粘连、肠胃不适、机体持续发热等并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论针对难治性胸腔积液患者应用中西药联合治疗,不仅可保证治疗效果,改善机体不良反应,还可促进疾病康复,减少医疗费用。Objective To explore the effect of integrated traditional Chinese and western medicine in the treatment of refractory pleural effusion.Methods Seventy patients with refractory pleural effusion admitted to the hospital from March 2018 to May 2019 were selected and divided into a control group and a study group according to different treatment options,with 35 cases in each group.The control group was treated with western medicine,and the study group was treated with integrated Chinese and western medicine.Compare the treatment effects of the two groups.Results The total effective rate of treatment in the study group was 97.14%,which was significantly higher than the control group's 80.00%,and the difference was statistically significant(P<0.05).Compared with the control group,the hospitalization time,antipyretic time and the disappearance time of pleural effusion in the study group were better than those in the control group,and the difference was statistically significant(P<0.05).Comparing the incidence of complications between the two groups,the incidence of pleural adhesions,gastrointestinal discomfort and persistent fever in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The combined treatment of Chinese and Western medicine for patients with refractory pleural effusion can not only ensure the therapeutic effect,improve adverse reactions,but also promote the rehabilitation of the disease,reduce medical costs and meet the clinical needs.

关 键 词：难治性胸腔积液 中西医结合 不良反应 康复效果 住院时间 

分 类 号：R561[医药卫生—呼吸系统]