摘要
目的对中西医结合治疗耐多药肺结核的临床效果进行分析和观察。方法方便选择该院在2014年1月—2018年1月期间收治的40例耐多药肺结核患者作为研究对象,按照病历单双号将其划分为对照组和观察组,每组20例。采用西药对对照组患者进行治疗,采用中西医结合对观察组患者进行治疗,对两组患者的治疗效果进行分析和比较。结果对照组达到了65.0%的总有效率,观察组达到了95.0%的总有效率。观察组的总有效率明显高于对照组(χ^2=10.812,P<0.05)。对照组患者12周有9例痰菌转阴,占45.0%,24周有12例痰菌转阴,占60.0%,36周有14例痰菌转阴,占70.0%,48周有15例痰菌转阴,占75.0%。观察组患者12周有11例痰菌转阴,占55.0%,24周有15例痰菌转阴,占75.0%,36周有18例痰菌转阴,占90.0%,48周有19例痰菌转阴,占95.0%。观察组在12周的痰菌转阴率略高于对照组,但是差异无统计学意义(χ^2=1.572,P>0.05)。在24周、36周和48周的痰菌转阴率方面观察组均明显高于对照组,两组患者相比差异有统计学意义(χ^2=8.728,10.084,18.559,P<0.05)。结论在耐多药肺结核的临床治疗中采用中西医结合的治疗方式具有很好的效果,能够有效地吸收病灶,并且促进痰结核分枝杆菌转阴。
Objective To analyze and observe the clinical effects of integrated traditional Chinese and Western medicine in the treatment of multidrug-resistant tuberculosis.Methods Convenient select forty patients with multidrug-resistant pulmonary tuberculosis admitted to our hospital from January 2014 to January 2018 were enrolled in the study.According to the medical records,they were divided into control group and observation group,with 20 cases in each group.The patients in the control group were treated with western medicine,and the patients in the observation group were treated with integrated Chinese and Western medicine.The therapeutic effects of the two groups were analyzed and compared.Results The control group achieved a total effective rate of 65.0%,and the observation group achieved a total effective rate of 95.0%.The total effective rate of the observation group was significantly higher than that of the control group(χ^2=10.812,P<0.05).In the control group,9 cases of sputum turned negative in 12 weeks,accounting for 45.0%.In 24 weeks,12 cases of bacillus were negative,accounting for 60.0%.In 36 weeks,14 cases of bacillus were negative,accounting for 70.0%,and there were 15 cases in 48 weeks.The sputum turned negative,accounting for 75.0%.In the observation group,11 cases of sputum turned negative in 12 weeks,accounting for 55.0%.In 24 weeks,15 cases of sputum turned negative,accounting for 75.0%.In 36 weeks,18 cases of sputum turned negative,accounting for 90.0%,and 19 cases in 48 weeks.The sputum turned negative,accounting for 95.0%.The 12-week sputum negative rate was slightly higher in the observation group than in the control group,but the difference was not statistically significant.(χ^2=1.572,P>0.05).At 24 weeks,36 weeks,and 48 weeks,the observation group was significantly higher than the control group,and the difference was statistically significant between the two groups(χ^2=8.728,10.084,18.559,P<0.05).Conclusion The combination of traditional Chinese and Western medicine in the clinical treatment
作者
王建超
WANG Jian-chao(Department of Tuberculosis,Guanxian Tuberculosis Control Institute,Guanxian,Shandong Province,252500 China)
出处
《中外医疗》
2019年第30期179-181,共3页
China & Foreign Medical Treatment
关键词
中西医结合
耐多药
肺结核
病灶
转阴率
Integrated Chinese and Western medicine
Multi-drug resistant
Tuberculosis
Lesion
Negative conversion ratio
