复方甘草酸苷治疗传染性非典型肺炎患者胸部X线表现分析

Analysis of the Chest X-ray Manifestations in SARS Patients Treated with Compound Glycyrrhizin

目的 :总结传染性非典型肺炎 (SARS)患者应用复方甘草酸苷 (美能 )治疗后胸部X线表现特点及变化规律。方法 :将60例SARS患者平均分为两组 ,其中一组应用了复方甘草酸苷治疗 (美能组 ) ,另一组 (对照组 )未用美能治疗。对比观察两组患者肺部病变出现的时间、部位、范围及动态演变特点。结果 :美能组患者胸片改善50 %时间距高峰平均天数少于对照组 ,恢复期美能组患者胸片完全吸收好转例数多于对照组患者 ,且美能对血白细胞、血糖及电解质无明显影响。结论 :美能对SARS患者可能有一定的疗效 ,而且副作用较少。

OBJECTIVE:To summerize the characteristics and variability of chest X-ray manifestations in SARS patients treated with compound glycyrrhizin.METHODS:60cases of SARS were equally divided into2groups:groupⅠreceiving compound glycyrrhizin,groupⅡ(as control)receiving conventional treatment.The appearing time,site,scope and dynamic changes of the pulmonary lesions on chest radiograms were compared between2groups.RESULTS:The average period from peak to50%improvement of lesion in X-ray manifestations was shorter in groupⅠthan that in groupⅡ.In restoration stage,more patients had their X-ray findings absorbed in groupⅠcompared with the patients in groupⅡ.Compound glycyrrhizin had little influence on WBC,blood sugar and electrolytes.CONCLUSION:Glycyrrhizin may be a promising drug against SARS with less side effects.