糖皮质激素治疗肺结核合并纤维素性支气管炎103例的临床分析

Clinical analysis of glucocorticoid in 103 pulmonary taberculosis complicated plastic bronchitis

目的探讨糖皮质激素(以下简称激素)治疗纤维素性支气管炎的疗效、安全性。方法本文共103例,随机分为对照组和实验组(大剂量激素组,小剂量激素组),对照组常规抗结核治疗及止血治疗,实验组均在常规抗结核治疗及止血治疗的基础上分别加用大、小剂量激素治疗。结果对照组34例患者,治愈8例(23.5%),显效10例,无效16例,总有效率52.9%。小剂量组34例患者,治愈25例(73.5%),显效7例,无效2例,总有效率94.1%。大剂量组35例患者,治愈30例(85.7%),显效4例,无效1例,总有效率97.1%。结论激素治疗肺结核合并纤维素性支气管炎均疗效确切,值得临床推广。

Objective To evaluate the sfety and efficacy of glucocorticoid treated in fibrinous bronchitis.Methods 103 patients with fibrinous bronchitis were selected in a randomily divided into three groups,control group and experimental group（large dose glucocorticoid group,small dose glucocorticoid group）,the control group treated with anti-tuberculosis regimen and hemostasis,the experimental group treated with glucocorticoid,anti-tuberculosis regimen and hemostasis.Results The control group（34 cases）8 cases in cure（23.5%）,powerfully 10 cases effectiveness and 16 cases,the total effective rate of was 52.9%.The Small dose group（34 cases） cases 25 cases in cure（73.5%）,7 cases shall be null and void in 2 cases,the total effective rate was 94.1%.The large dose group（35 cases） cases 30 cases in cured（85.7%）,4 cases were markedly improved,1 case ineffective,with the total effective was 97.1%.Conclusion Glucocorticoid in treatment of tuberculosis complicate fibrinous bronchitis are exactly curative effect.