含OFLX方案治疗结核性渗出性胸膜炎的观察

Research on the project of treating tuberculous pleurisy

目的 探讨结核性胸膜炎的治疗方法。方法 90例初治结核性胸膜炎随机分为 3组。A组应用普通化疗方案 2HL2 ZS/ 4HL2 ;B组在A组方案上加大剂量激素递减 ;C组应用B组方案 ,强化期加用OFLX进行治疗。观察 6月 ,分析 3组疗效。结果 患者症状方面、胸水吸收均有显著性差异 ,C组和B组在减轻胸膜粘连上均与A组有显著性差异 ,B组与C组无显著性差异。结论 抗结核治疗在治疗结核性渗出性胸膜炎时 ,加用激素、积极抽液是关键 ,加用OFLX可加速胸液吸收。

Objective To explore the project to treat tuberculous pleurisy.Methods Ninety preliminary treating cases of tuberculous pleurisy were divided into group A,group B and group C at random:group A using 2HLZS/4HL as the routine treating project,group B boostering other drugs dose while decreasing hormone gradually,group C using 2HLZS/4HL and ofloxacin was applied during the intensifying period.After the treatment for six months,the symptoms and the effects were examined.Results The three groups have stastitic difference in the symptoms.Pleurorrhea absorption and defervesce.Conclusion The project using ofloxacin while boostering other drug dose but decreasing hormone gradually has the best curative effect.