摘要
目的:观察益肺活血化痰散结法治疗肺结节病例的临床疗效。方法:187例肺结节患者使用益肺活血化痰散结中药口服治疗3个月,而后复查胸部CT,与患者就诊前最近一次胸部CT结果对比,以肺结节大小的变化为主要疗效判定标准。结果:187例患者总有效率37.43%,低危、中危、高危、多发、单个实性、单个部分实性、单个纯磨玻璃结节总有效率分别为45.24%、41.94%、23.08%、38.57%、38.71%、24.39%、46.67%。低、中危结节疗效显著优于高危结节(P<0.05),单个纯磨玻璃结节疗效显著优于单个部分实性结节(P<0.05)。结论:运用益肺活血化痰散结法治疗低、中危结节,单个纯磨玻璃结节,单个实性结节的疗效较佳。低、中危结节疗效优于高危结节。
Objective:To observe the clinical curative effect of the methods of benefiting lung,promoting blood circulation,eliminating phlegm and dispersing stagnation(BPED)in treating pulmonary nodules.Methods:A total of 187 patients with pulmonary nodules were followed up with re-examining chest CT after treated by TCM herbs using the BPED method for 3 months from the first clinical visit.The size of pulmonary nodules shown in CT results were compared with those in the nearest results before the first clinical visit,as the evaluation of curative effect.Results:The total effective rate of 187 patients was 37.43%,and the total effective rate of low risk,medium risk,high risk,multiple,isolated and solid,isolated and part-solid,isolated and pure ground glass nodules were 45.24%,41.94%,23.08%,38.57%,38.71%,24.39%and 46.67%,respectively.The curative effect of low risk and medium risk nodules were significantly better than that of high risk nodules(P<0.05),the curative effect of isolated and pure ground glass nodules was significantly better than that of isolated and part-solid nodules(P<0.05).Conclusion:The curative effects of BPED method in treating low risk,medium risk,isolated and solid,pure ground glass nodules are satisfying.The curative effect of low and medium risk pulmonary nodules is better than that of high risk pulmonary nodules.
作者
刘彧杉
张晓梅
姜良铎
董环
于小林
顾潇枫
满君
闫宏
李思敏
崔晋伟
赖宇鑫
LIU Yu-shan;ZHANG Xiao-mei;JIANG Liang-duo;DONG Huan;YU Xiao-lin;GU Xiao-feng;MAN Jun;YAN Hong;LI Si-min;CUI Jin-wei;LAI Yu-xin(The Second Clinical College of Medicine,Beijing University of Chinese Medicine,Beijing 100078,China;Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 100078,China;Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2020年第2期992-994,共3页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
中央高校基本科研业务费专项资金资助(No.2019-JYB-XS-217)。
关键词
肺结节
中医药
益肺活血化痰散结
临床观察
Pulmonary nodules
Traditional Chinese medicine
Benefiting lung
promoting blood circulation
eliminating phlegm and dispersing stagnation
Clinical observation
