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纸质出版日期:2015
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刚永桂. 白及抗痨凝胶辅助化疗药物治疗空洞型肺结核及肺外结核[J]. 中国实验方剂学杂志, 2015,21(17):195-198.
GANG Yong-gui. Effect of Baiji Kanglao Gel Combined with Chemotherapeutic Drugs in Treating Cavitary Pulmonary Tuberculosis and Extra Pulmonary Tuberculosis[J]. Chinese journal of experimental traditional medical formulae, 2015, 21(17): 195-198.
刚永桂. 白及抗痨凝胶辅助化疗药物治疗空洞型肺结核及肺外结核[J]. 中国实验方剂学杂志, 2015,21(17):195-198. DOI: 10.13422/j.cnki.syfjx.2015170195.
GANG Yong-gui. Effect of Baiji Kanglao Gel Combined with Chemotherapeutic Drugs in Treating Cavitary Pulmonary Tuberculosis and Extra Pulmonary Tuberculosis[J]. Chinese journal of experimental traditional medical formulae, 2015, 21(17): 195-198. DOI: 10.13422/j.cnki.syfjx.2015170195.
目的: 探讨采用白及凝胶辅助常规化疗药物治疗肺外结核及空洞型肺结核的临床效果。 方法: 根据就诊顺序将本院2011年1月—2013年1月收治的87例肺外结核及空洞型肺结核患者随机分为研究组(44例)和对照组(43例)
两组均采用3DLZVATH/15DLVTH的化疗方案进行规范化疗
研究组在此基础上进行白及凝胶治疗
比较两组患者治疗3
12
18个月后的痰菌转阴率及病灶治愈率差异。 结果: 治疗后第3
12
18个月研究组的痰菌转阴率分别为47.73%
75.00%
84.09%均高于对照组的27.91%
51.16%
60.47%
仅第12
18个月两组的转阴率差异显著(P<0.05)。研究组在第12
18个月的病灶治疗有效率、空洞治疗有效率均显著的高于对照组(P<0.05)。治疗前两组患者的发热、咳痰、咳嗽、咯血率差异不显著
治疗后研究组的发热、咳痰、咳嗽率均显著的低于对照组(P<0.05)。研究组的总有效率为95.45%显著的高于对照组的70.07%(P<0.05)。 结论: 白及凝胶辅助常规化疗药物治疗肺外结核及空洞型肺结核对于提高结核转阴率、改善患者的临床症状、提高治疗效果具有显著作用。
Objective: To investigate the clinical effect of Baiji Kanglao gel combined with chemotherapeutic drugs on cavitary pulmonary tuberculosis and extra pulmonary tuberculosis. Method: Totally eighty-seven cases of cavitary pulmonary tuberculosis and extra pulmonary tuberculosis treated in our hospital from January 2011 to January 2013 were divided randomly into the research group (44 cases) and the control group (43 cases) according the visiting sequence. Both groups were treated with standard chemotherapy regimen of 3DLZVATH/15DLVTH. In addition to the chemotherapy
the research group was treated by Baiji Kanglao gel. The differences in the sputum negative conversion rate and lesion cure rate between both groups after being treated for 3
12 and 18 months were compared. Result: The sputum negative conversion rates of the research group after being treated for 3
12 and 18 months were 47.73%
75.00% and 84.09% respectively
which were higher than the control group (27.91%
51.16% and 60.47%). The significant differences were only found in the 12th and 18th months (P<0.05). The lesion effective rate and the cavity effective rate of the research group in the 12th and 18th months were significantly higher than that of the control group (P<0.05). There was no significant difference in fever
expectoration
cough and hemoptysis between the two groups before the treatment
but with significant lower values in the research group than the control group after the treatment (P<0.05). The total effective rate in the research group was 95.45%
which was significantly higher than 70.07% in the control group (P<0.05). Conclusion: Baiji Kanglao gel combined with conventional chemotherapeutic drugs has a significant effect in treating cavitary pulmonary tuberculosis and extra pulmonary tuberculosis by enhancing the tuberculosis negative conversion rate
relieving clinical symptom of patients and increasing the treatment effect.
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