中西医结合治疗耐多药肺结核25例疗效观察

目的]观察中西医结合治疗耐多药肺结核(MDR-TB)疗效。方法]观察50例,随机分为治疗组25例,对照组25例。两组均采用西药抗痨药物治疗,治疗组在常规治疗方法的基础上加用中药,疗程3个月,观察两组的疗效差异。结果]治疗1、3、6月末,治疗组的痰菌阴转率分别为60%、92%、96%,高于对照组48%、60%、92%,两组疗效对比有显著性差异(P=0.018)。同时观察两组治疗3月后胸片吸收情况,治疗组明显改善12例,中度改善9例,轻度改善2例,无改善2例;对照组明显改善8例,中度改善4例,轻度改善5例,无改善7例,统计学显示两者有显著差异(P=0.032)。结论]中西医结合治疗耐多药肺结核疗效优于单纯用西药治疗。

TCM-WM Treatment MDR-TB Efficacy 25 cases

Objective ] To observe the TCM - WM treatment of muhidrug - resistant tuberculosis （ MDR - TB） effect. Method] 50 patients were randomly divided into treatment group 25 cases, 25 cases in control group. Two groups use the western medicine anti - tuberculosis pharmacological treatment, In the conventional treatment group, treatment was added, based on Chinese medicine, Course of 3 months, Observed differences in the efficacy of the two groups. Results ] The end of treatment 1,3,6, treatment group sputum conversion rate was 60% , 92% , 96% , higher than 48% , 60% , 92% , compared the two groups was significant effect differ-ence （P =0. 018）. At the same time were observed after 3 months treatment of chest X -ray absorption of the treatment group improved significantly 12 eases, moderate improvement 9 cases, mild improvement 2 cases, no improvement 2 cases ; the control group significantly improved 8 eases, moderate improvement 4 cases, mild improvement 5 cases, no improvement 7 eases, Statistics show a significant difference between the two （P = 0. 032 ）. Conclusion] The TCM -WM Treatment MDR -TB more effective than simply using western medicine healer.