中西医结合治疗肺痨咯血72例临床观察

目的观察中西医结合治疗肺痨咯血的疗效.方法将肺痨咯血患者属肺阴亏损证者138例随机分成两组.治疗组72例用抗痨 中药(月华化血丹) 山莨菪碱治疗;对照组66例用抗痨 止血药(对羧基苄胺、安特诺新)治疗,观察比较其疗效.结果止血疗效治疗组总有效率为95.83%,对照组为75.76%,治疗组优于对照组(P＜0.001).肺痨治愈率中初治涂阳治愈率治疗组为98.1%,对照组为83.3%,治疗组优于对照组(P＜0.01).结论中西医结合治疗肺痨咯血见效快、疗效确切.

Clinical observation on treatment of 72 cases of hemoptysis induced by pulmonary tuberculosis with therapy integrated Chinese and western medicine

Objective To observe the curative effect of the therapy integrated Chinese and western medicine on hemoptysis induced by pulmonary tuberculosis. Method To divide randomly 138 patients with hemoptysis induced by pulmonary tuberculosis (belonged to the syndrome of lung-yin deficiency in Chinese medicine) into two groups. The treatment group (n=72) was treated with anti- tuberculosis therapy, Chinese medicine (Yuehuahuaxue Pellets) and anisodamine. The control group (n=66) was treated with anti- tuberculosis therapy and hemostatics (paminomethyl benzoic acid and adrenosin). The curative effects of two groups were observed and compared. Result The total hemostyptic rate in the treatment group was 95.83% and that in the control group was 75.76 %. The treatment group was superior to the control group (P<0.001). The cure rate of initial smear-positive patients in the treatment group was 98.1 % and that in the control group was 83.3 %. The treatment group was superior to the control group (P<0.01). Conclusion The therapy integrated Chinese and western medicine has a fast and reliable effect on hemoptysis induced by pulmonary tuberculosis.