中西医结合治疗肾移植术后肺感染18例临床观察

Clinical Observation on Treatment of 18 Patients with Pulmonary Infection after Renal Transplantation by Integrative Traditional Chinese and Western Medicine

目的观察中西医结合治疗肾移植术后肺感染患者的效果。方法将34例肾移植术后肺感染患者,随机分为治疗组(18例)和对照组(16例)。治疗组采用中药清瘟败毒饮加减,激素、抗病毒、抗细菌、对症及支持疗法等联合用药,对照组未给予中药治疗,其余处理与治疗组相同。结果治疗组18例,痊愈15例,好转2例,死亡1例,治愈率为83.3%,总有效率为94.5%;对照组16例,痊愈8例,好转2例,死亡6例,治愈率为50.0%,总有效率为62.5%;两组疗效比较差异有显著性(P<0.05)。结论中西医结合治疗肾移植术后肺感染具有较好的治疗作用。

Objective To observe the therapeutic effect of integrative traditional Chinese and Western medicine in treating patients with pulmonary infection after renal transplantation. Methods Thirty-four inpatients were randomly divided into the treated group （ n = 18） and the control group （ n = 16）. They were treated with conventional therapy, including corticosteroid, anti-viral, anti-bacterial, symptomatic and supporting therapy, to the treated group, the modified Qingwen Baidu Decoction （MQBD） was administered additionally. Resuits Fifty of the 18 patients in the treated group were cured, 2 improved and 1 died, the cure rate being 83.3% and the total effective rate 94.4% ; while 8 of the 16 patients in the control group were cured, 2 improved and 6 died, the cure rate being 50.0 % and the total effective rate 62.5 % , comparison between these two groups showed significant difference （P 〈0.05）. Conclusion Promising effect could be obtained for treatment of patients with pulmonary infection after renal transplantation by adding MQBD, a Chinese herbal medicine for clearing heat and detoxication, cooling blood and removing fire, on the basis of conventional western medical treatment