中医药辨证治疗肺结核证候规律研究

目的：形成初治继发性肺结核的中西医结合治疗方案,并评价该方案对减轻抗结核化疗药物毒副作用、促进空洞闭合、痰菌转阴、改善症状及提高生活质量等方面的疗效和安全性。方法：将108例初治继发性肺结核患者,随机分成治疗组54例和对照组54例,对照组给予西药抗结核化疗,治疗组在抗结核化疗的基础之上,加用中药口服。结果 ：本研究显示治疗组疗效显著,明显高于对照组。结论：中西医结合治疗肺结核通过整体调节,能够有效减轻抗结核化疗药物毒副作用、促进空洞闭合、痰菌阴转,改善患者临床症状和体征,增强机体免疫,提高生活质量,从而起到早期防治肺结核的作用,其综合疗效优于对照组。

Research on Regularity of TCM Syndrome and Chinese Medicine Dialectical Treatment of Pulmonary Tuberculosis

Objective:To form initial treatment of pulmonary tuberculosis with traditional Chinese medicine and Western medicine treatment,and evaluate the efficacy and safety of the program on reducing the toxic and side effect of chemotherapy of tuberculosis,promotion of void closure,the sputum negative conversion,the improvement in symptoms and improving quality of life and other aspects.Method:108 cases of primary pulmonary tuberculosis patients were randomly divided into treatment group(54 cases)and control group(54 cases).The control group was given Western medicine antituberculous chemotherapy.The treatment group was given antituberculous chemotherapy foundation combined with oral administration of traditional Chinese medicine.Result:This study showed the effect of the treatment group was obviously higher than that of control group.Conclusion:Combination of traditional Chinese and Western medicine for the treatment of pulmonary tuberculosis through the whole adjustment can effectively reduce the antituberculous chemotherapy side effect,promote the pore closure and sputum negative conversion,improve clinical symptoms and signs,enhance immunity,improve the quality of life,and thus plays a role in early prevention and treatment of pulmonary tuberculosis.The comprehensive curative effect is better than that of control group.