养阴清肺法辅治肺结核患者的临床效果分析

Analysis on the Clinical Effect of Nourishing Yin and Clearing Lung Method in the Treatment of Pulmonary Tuberculosis

目的探讨养阴清肺法辅治肺结核患者的治疗效果。方法本次研究的对象均为2016年6月—2017年6月来我院就诊的肺结核病患者,共120例,采用随机法分为对照组和实验组,对照组实施西药联合化疗展开治疗,实验组在常规治疗基础上联合应用中医养阴清肺法展开治疗,比较两组患者的临床治疗效果、发生不良反应情况、红细胞沉降率。结果经过治疗,实验组总有效率为98.3%,显著高于对照组的83.3%,两组间差异均具有统计学意义(P<0.05);在治疗时,两组患者均未出现痛风关节炎、末梢神经炎、肾功能异常等情况。实验组有1例发生恶心、呕吐。对照组有12例患者发生瘙痒、皮疹,所有患者停用异烟肼后均已恢复正常。实验组不良反应发生率为3.3%,对照组的不良反应发生率为20.0%,不良反应发生率的对比上,实验组显著低于对照组,两组间差异均具有统计学意义(P<0.05)。结论与西药联合化疗相比,联合应用中医养阴清肺法具有良好的效果,能够有效改善患者的症状,减小不良反应发生率,显著提高患者的生命质量,值得推广应用。

Objective To investigate the therapeutic effect of nourishing yin and clearing lung method in the treatment of pulmonary tuberculosis. Methods 120 patients with pulmonary tuberculosis in our hospital from June 2016 to June 2017 were divided into control group and experimental group. The control group was treated with Western medicine combined with chemotherapy. The experimental group was treated with traditional Chinese medicine nourishing yin clearing lung method on the basis of routine treatment. The clinical effect, adverse reaction conditions and erythrocyte sedimentation rate were compared between the two groups. Results After treatment, the total effective rate of the experimental group was 98.3 % which was significantly higher than 83.3 % of the control group, and the difference between the two groups was statistically significant （p 〈 0.05 ）. In the treatment process, two groups of patients did not have gout arthritis, peripheral neuritis, renal dysfunction and so on. One patient in the experimental group had nausea and vomiting. In the control group, there were 12 cases of pruritus, rash, and all patients recovered to normal after take off. The incidence of adverse reaction in the experimental group was 3.3 %. The incidence of adverse reaction in the control group was 20.0 %. The results showed that the incidence of adverse reaction was significantly lower than that of the control group, and the difference between the two groups was statistically significant （p 〈 0.05 ）. Conclusion Comparing with Western medicine combined with chemotherapy, the combination of traditional Chinese medicine t nourishing yin for clearing the lung-heat method in the treatment of pulmonary tuberculosis can effectively improve the symptoms of patients, reduce the incidence of adverse reactions, significantly improve the quality of life of patients, and is worthy of popularization and application.