摘要
目的探究肺结核的及临床治疗效果。方法采用回顾性分析的方法 ,将2014年10月—2015年10月在该院接受治疗的60例肺结核患者的临床资料进行研究分析,对所有患者给予肺结核治疗措施,主要包括异烟肼、利福平等,对于出现耐药的菌株可给予氧氟沙星治疗,观察临床治疗效果。结果经过治疗,共有55例患者显示有效,治疗总有效率达到91.7%;痰涂片转阴为53例,占88.3%;胸片结核病灶有24例完全吸收,占40.0%,29例部分吸收,占48.3%。且治疗后患者的外周血T细胞亚群水平CD3为(67.3±7.3)%,CD4为(38.4±5.3)%,CD8为(26.5±4.4)%,明显优于治疗前,差异有统计学意义(P<0.05),治疗后患者的SAS、SDS评分明显优于治疗前,差异有统计学意义(P<0.05),临床治疗效果显著。结论对肺结核患者应以药物治疗为主,从日常生活习惯入手,加强对肺结核病的预防,对于已患肺结核的患者,要根据患者的实际情况选取科学、合理的药物治疗方式,给予对症治疗,增强免疫力,促进患者的康复治疗。
Objective To study the clinical treatment effect of pulmonary tuberculosis. Methods 60 cases of patients with pulmonary tuberculosis treated in our hospital from October 2014 to Oetober 2015 were selected for research and analysis, and all patients were treated with the measures including isoniazid and rifampin, and the drugresistant strains were treated with ofloxacin, and the clinical treatment effect was observed. Results After treatment, there were 55 effective eases, and the total treatment effective rate reached 91.7%, sputum smear darkening oeeurred to 53 eases, accounting for 88.3%, and there were 24 cases with complete absorption of chest tuberculosis, accounting for 40.0% and 29 cases with partial absorption of chest tubereulosis, accounting for 48.3%, after treatment, the peripheral blood T cell subset CD3, CD4 and CD8 of patients were respeetively（67.3±7.3）%,（38.4±5.3）% and（26.5±4.4）%, whieh were obviously better than those before treatment （P〈0.05）, and the differences had statistieal significance, and the SAS and SDS scores after treatment were obviously better than those before treatment, and the differences had statistical significance, and the clinical treatment effect was obvious. Conclusion The drug treatment should be the major method for patients with pulmonary tuberculosis, and we should select the scientific and rational drug treatment method according to the practical situation of patients and give the symptomatic treatment thus enhancing the immunity and promoting the rehabilitation treatment of patients.
出处
《系统医学》
2017年第4期65-67,共3页
Systems Medicine
关键词
肺结核
临床治疗
效果
Pulmonary tuberculosis
Clinical treatment
Effect
