中西医结合治疗特发性气胸的疗效观察

Observation on therapeutic efficacy with TCM WM treating spontaneous pneumothorax without underlying lung disease

目的：探讨中西医结合治疗特发性气胸的临床疗效。方法：特发性气胸患者５８例分为２组，对照组２２例采用西医常规治疗方法，治疗组３６例在西医常规治疗的基础上，加用口服理气活血止痛中药，比较２组的疗效。结果：中西医结合治疗组单侧肺压缩度＞５０％患者的平均住院时间〔（１９．０１±２．７９）ｄ〕、胸穿抽气次数〔（１．０８±０．３２）次〕及抽气量〔（１０７８．１７±５１５．６１）ｍｌ〕均明显少于对照组〔分别为（２３．０８±２．５２）ｄ，（１．６４±０．８２）次和（１８２３．３６±１１８４．７１）ｍｌ，Ｐ均＜０．０１〕。结论：中西医结合治疗特发性气胸能缩短疗程，减少胸穿抽气次数和抽气量。

Objective:To explore the therapeutic effect of spontaneous pneumothorax with TCM WM.Methods:To compare the therapeutic effect of treatment group(36 cases),which was treated with traditional Chinese and western medicine,and control group (22 cases) which was treated with conventional western medicine alone.Results:The curative rates in both groups were 100%.In patients with the lateral lung compress >50% the mean time of hospitalization (19 01±2 79)days ,the times (1 08±0 32) times and the mean amount of gas (1 078 17±515 61)ml by needle aspiration in treatment group were decreased greatly than those in control group (23 08±2 52)days,(1 64±0 82)times and (1 823 36±1 184 71)ml respectively,all P <0 01 ,the mean time of pneumothorax absorption in both groups was no obvious difference ( P >0 05).Conclusions:There is an affirmative effect of TCM WM on treating spontaneous pneumothorax without underlying lung disease,which can decrease the time for hospitalization and the amount of gas by needle aspiration.