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目的探讨中西医结合治疗结核性渗出性胸膜炎的疗效。方法 150例结核性渗出性胸膜炎患者随机分为治疗组和对照组,两组均给予西药治疗,治疗组在此基础上给予中药方自拟结胸汤治疗。结果治疗2个疗程后治疗组胸水总吸收率为92.0%,对照组胸水总吸收率为68.0%。治疗组有5例出现肝功异常,对照组有18例出现肝功异常。治疗组胸膜粘连肥厚44例,对照组胸膜粘连肥厚60例。结论中西医结合治疗结核性渗出性胸膜炎疗效明显优于单纯西药治疗,可加速胸水吸收,保护肝肾功能,减少胸膜粘连肥厚的发生。
Objective To explore the curative effect of integrated traditional Chinese and western medicine on tuberculous exudative pleurisy. Methods A total of 150 patients with tuberculous exudative pleurisy were randomly divided into treatment group and control group. Both groups were treated with western medicine. On the basis of this, the treatment group was treated with Chinese herbal prescription self-made Jiexiong decoction. Results After 2 courses of treatment, the total absorption rate of pleural effusion in the treatment group was 92.0% and that in the control group was 68.0%. Five patients in the treatment group had abnormal liver function, and 18 patients in the control group had abnormal liver function. Treatment group pleural adhesions hypertrophy in 44 cases, control group pleural adhesions hypertrophy in 60 cases. Conclusion The treatment of tuberculosis exudative pleurisy with traditional Chinese and western medicine is obviously superior to western medicine alone, which can accelerate the absorption of pleural fluid, protect liver and kidney function and reduce the occurrence of pleural adhesions.