加用“悬饮汤”治疗结核性胸腔积液的疗效观察

Observation on therapeutic efficacy of additional use of “xuan yin” decoction treating tuberculotic hydrothorax

目的：探讨中西医结合治疗结核性胸腔积液的疗效。方法：中、大量结核性胸腔积液患者６０例随机分成２组，中西医结合治疗组３０例在抗结核等西药治疗基础上加用中药“悬饮汤”，西医治疗组３０例则单用西药治疗，比较２组疗效。结果：中西医结合治疗组胸水消失时间比西医治疗组明显缩短，χ２＝１１．２８，Ｐ＜０．００１；中西医结合治疗组无包裹形成，而西医治疗组有１２例包裹形成，形成肥厚粘连情况２组无差异，χ２＝０．３２，Ｐ＞０．０５。结论：中西医结合治疗结核性胸腔积液胸水消失时间明显快于西医治疗组，疗效肯定。

Objective:To explore the therapeutic efficacy of integrated traditional Chinese and western medicine (ITCWM) in treatment of tuberculotic hydrothorax.Methods:Sixty cases of moderate and severe tuberculotic hydrothorax were divided randomly into 2 groups.The ITCWM treatment group (n=30) was treated with “xuan yin” decoction(悬饮汤) on the basis of antituberculosis therapy,the western medicine group (n=30) was treated with western drugs alone.Results:The time of hydrothorax absorption in ITCWM group was shortened than western medicine group significantly (χ2=1128,P<0001).Twenty cases were package formation in western medicine group,but no case in ITCWM group.Moreover,it was no difference of thickening and adhesion between 2 groups(χ2=032,P>005).Conclusions:Absorption of hydrothorax in ITCWM treatment group was more rapid than that in western medicine group.It is an affirmative therapeutic efficacy of ITCWM on tuberculotic hydrothorax.