合用地塞米松治疗难治性肺结核咯血的疗效分析

Curative effects analysis of using dexamethasone to treat refractory pulmonary tuberculosis spitting blood

目的探讨地塞米松对难治性肺结核咯血的疗效。方法将96例难治性肺结核咯血病人分为治疗组56例,对照组40例。两组病人均在常规抗结核治疗和一般止血治疗基础上,治疗组加地塞米松10mg静脉注射(2次/天),对照组用脑垂体后叶素10-30u/d静滴。结果治疗组显效率为87.5%,总有效率为96.2%,明显高于对照组(54.5%和72%),两组对比有显著性差异(P<0.01)。结论地塞米松对难治性肺结核咯血能缩短止血时间,提高止血率,疗效确切。

Objective To observe the curative effects of dexamethasone in treating refractory pulmonary tuberculosis(TB) spitting blood.Methods Divide the 96 cases of TB patients into two groups:an experimental group with 56 cases and a control group with 40 cases.On the basis of routine antituberculotic treatments,the experimental group adds intravenous injection of 10 mg dexamethasone(two times a day),while the control group gets intranenous perfusion of posterior pituitary hormone with 10-30 u/d.Results The effectual rate of the experimental group is 87.5%,the general effective rate is 96.2%,which is obviously higher than the control group(54.5% and 72%).The is significant difference between toe two gruoups(P<0.01).Conclusion Dexamethasone can shorten the time of hemostasis in treating refractory TB spitting blood and raise the hemostasis rate with a definite curative effect.