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中西医结合治疗放射性肺炎的临床观察 被引量:3

Clinical Observation on Treatment of Radiative Pneumonia in Patients with Lung Cancer by Integrative Chi-nese and Western Medicine
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摘要 目的探讨中西医结合治疗放射性肺炎疗效。方法随机将80例患者分为两组,其中参芪治疗组(简称治疗组)48例,采用参芪扶正注射液、抗生素及激素冲击治疗;常规治疗组(简称对照组)32例,仅用抗生素与激素冲击治疗。观察治疗前、治疗后20天临床症状、体征变化及生活质量改善情况,并采用流式细胞仪检测T淋巴细胞亚群(CD_3~1、CD_4^+、CD_8^+及CD_4^+/CD_8^+比值)。结果治疗组的主要症状起效时间明显短于对照组(P<0.05),卡氏评分改善优于对照组,两组比较,差异均有统计学意义(P<0.05),治疗组治疗后免疫功能较治疗前有明显改善(P<0.01)。结论参芪扶正注射液合并短程高效激素及抗生素治疗放射性肺炙疗效好,并可改善患者生活质量。 Objective To investigate the effect of integrative Chinese and Western medical therapy for radiative pneumonia (RP). Methods Eighty patients were randomly assigned to two groups. The treated group (48 patients) was treated by Shenqi Fuzheng Injection (SFI), antibiotics and short-term pulse therapy with high efficient hormone, while the control group' (32 patients) was treated only by antibiotic and hormone pulse therapy, Changes of symptoms, signs, quality of life and subsets of T-lymphocytes (CD3^+ , CD4^+ , CD8^+ and CD4^+/CD8^+ ratio) were observed before and after 20-day treatment. Results The chief symptom disappearance time was shorter ( P 〈 0.05), Karnofsky performance score was better ( P 〈 0.05 ) in the treated group after treatment as compared with those in the control group. Moreover, the immune function was improved in the treated group after treatment (P 〈 0.01 ). Conclusion SFI combined with antibiotics and short-term pulse therapy with high efficient hormone has a good effect for radiative pneumonia, it could also increase patients' quality of life as well.
出处 《中国中西医结合杂志》 CAS CSCD 北大核心 2007年第12期1121-1123,共3页 Chinese Journal of Integrated Traditional and Western Medicine
关键词 参芪扶正注射液 放射性肺炎 卡氏评分 免疫功能 Shenqi Fuzheng Injection radiative pneumonia Karnofsky performance score immune function
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