自拟柴葛葶苈陷胸汤加减配合抗痨药与心理干预对结核性胸膜炎患者的治疗意义

Significance of the Chaige Tingli Xianxiong decoction plus anti-tuberculosis drugs and psychological intervention on tuberculous pleurisy

目的:评价自拟柴葛葶苈陷胸汤加减配合抗痨药与心理干预对结核性胸膜炎患者治疗中的意义。方法:将我院收治的住院患者100例随机分为治疗组与对照组各50例,均给予常规抗痨药治疗,治疗组患者在此基础上采用自拟柴葛葶苈陷胸汤加减,每日1剂,水煎服,10日为一个疗程。同时采用心理干预,比较两组疗效。结果:治疗组胸水吸收情况、体征消失时间、中医证候评分、胸膜增厚情况明显优于对照组,两组比较差异有统计学意义(P <0.05),治疗组患者护理满意47例,不满意3例,满意度是94.00%,优于对照组患者(分别为38例,12例,满意度是76.00%),两组比较差异有统计学意义(P <0.05)。结论:中西医结合治疗该病,促进纤维蛋白的溶解,阻止纤维蛋白沉积于胸腔,防止胸膜粘连增厚的形成,改善患者临床症状,并给予关心和帮助促使患者早日康复。

Objective: To evaluate the clinical significance of the Chaige Tingli Xianxiong decoction (柴葛葶苈陷胸汤) plus antituberculosis drugs and psychological intervention on tuberculous pleurisy. Methods: 100 patients admitted in our hospital were randomly divided into the treatment group and control group, 50 cases in each. Both groups were treated with conventional anti-tuberculosis drugs;and the patients in the treatment group were treated with the Chaige Tingli Xianxiong decoction more. The efficacy in two groups were compared. Results: The pleural fluid absorption, the disappearance time of the signs, the TCM syndrome score, and the pleural thickening in the treatment group were significantly better than the control group, and the difference was statistically significant (P<0.05). The nursing satisfaction of patients in the treatment group was 94.00%, better than 76.00% in the control group. The difference was statistically significant (P<0.05). Conclusion: Treating tuberculous pleurisy in integrated TCM and western medicine can promote the dissolution of fibrin, prevent the deposition of fibrin in the thoracic cavity, prevent the formation of pleural adhesion and thickening, improve the clinical symptoms, and promote the patients’ early recovery.