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抗结核药物联合中药肺痨宁治疗复治肺结核34例临床研究

Clinical Study on Antituberculotics Combined with Chinese Drug Feilaoning for Treatment of 34 Cases of Pulmonary Tuberculosis of Return Treatment

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【作者】 李同霞陈苏民徐爱华熊祥云华裕忠逄金歧高岱青朱培勋王翠琴吕卫国姚艳红孙丽梅

【Author】 Li Tongxia Chen Sumin Xu Aihua (Qingdao Municipal Chest Hospital,Shandong 266043)

【机构】 青岛市胸科医院青岛市中心医院青岛市胸科医院 山东省青岛市李沧区重庆中路896号(266043)山东省青岛市李沧区重庆中路896号(266043)

【摘要】 目的:研究和评价肺痨宁辅助治疗复治肺结核的疗效。方法:将67例复治菌阳性肺结核患者随机分为治疗组34例,对照组33例,治疗方案均为3Pa(H)L2VZ(TH)E(Ak)/6Pa(H)L2V,治疗组同时加用肺痨宁3个月。结果:治疗后1个月、3个月、6个月时,治疗组和对照组痰菌阴转率分别为61.8%、94.1%、97.1%和30.3%、75.8%、78.8%;病灶吸收率分别为73.5%、94.1%、97.1%和36.4%、75.8%、81.8%,差异有显著性(P<0.05或P<0.01)。治疗后1个月时,治疗组白介素-12(IL-12)较对照组高,差异有显著性(P<0.05);治疗后3个月时,治疗组γ-干扰素(IFN-γ)较对照组高,差异有显著性(P<0.05或 P<0.01)。结论:肺痨宁辅助治疗复治肺结核可缩短疗程,开辟了中医中药治疗该病的新途径。

【Abstract】 Objective:To study and assess therapeutic effect of Fei Laoning in accessory treatment of pulmonary tuberculosis of retu treatment.Methods:67 cases of return treatment with positive tuberculomyces were randomly divided into a treatment group of 3 cases and a control group of 33 cases.They were all treated by the program,3Pa(H)L2VZ(TH)E(Ak)/6Pa(H)L2V,wit Feilaoning added to the treatment group for 3 months.Results:One,three and six months after treatment,the returning negativ rates for the bacterium in phlegm were 61.8%,94.1%,97.1%and 30.3%.75.8%,78.8%;the absorption rates of foci wer 73.5%,94.1%, 97.1% and 36.4%,75.8%,81.8% in the treatment group and the control group,respectively,with significan differences between the two groups(P<0.05 or P<0.01).Interlukin-12(IL-12)level 1 month after treatment and γ-interfero (IFN-γ)and IL-12 levels 3 months after treatment in the treatment group were higher than those in the control group(P<0.0 or P<0.01).Conclusion:Feilaoning can shorten therapeutic course in accessory treatment of pulmonary tuberculosis of retur treatment.

【基金】 山东省中医管理局课题(2001—2002年第92号)
  • 【文献出处】 中医杂志 ,Journal of Traditional Chinese Medicine , 编辑部邮箱 ,2005年01期
  • 【分类号】R521
  • 【被引频次】5
  • 【下载频次】165
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