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观察和评价化疗并用乌体林斯治疗菌阳肺结核的疗效。方法 将 191例初、复治菌阳肺结核患者随机分为A、B、C、D组 ,A、C组 (各 50例 )分别采用 2H3R3Z3S3/ 4H3R3和 2H3R3Z3E3S3/6H3R3E3加乌体林斯方案治疗 ;B组 (4 6例 )、D组 (4 5例 )单纯用 2H3R3Z3S3/ 4H3R3和 2H3R3Z3E3S3/6H3R3E3方案治疗。观察治疗后肺部病灶吸收 ,痰菌阴转情况。结果 2月末痰菌阴转率 :A、B组分别为 96 0 %和 78 3% ;C、D组分别为 92 0 %和 6 8 9% ;疗程结束痰菌阴转率A、B组分别为 98 0 %和87 0 % ;C、D组 96 0 %和 77 8%。疗程结束胸部X线改善有效率 :A、B组 96 0 %和 84 8% ;C、D组92 0 %和 73 3%。空洞闭合A、B、C、D组分别为 80 9%、6 3 2 %、76 0 %、6 0 9%。结论 乌体林斯能提高痰菌阴转率 ,促进病灶吸收 ,提高免疫细胞活性 ,是一种较好的免疫制剂。
Observe and evaluate the efficacy of chemotherapy and Wu-Lin-lings treatment of bacteria positive pulmonary tuberculosis. Methods A total of 191 primary and retreatment tuberculosis positive pulmonary tuberculosis patients were randomly divided into A, B, C and D groups. A and C groups (50 cases each) were treated with 2H3R3Z3S3 / 4H3R3 and 2H3R3Z3E3S3 / 6H3R3E3 plus weiurlins respectively. Group B (46) and Group D (45) were treated with the 2H3R3Z3S3 / 4H3R3 and 2H3R3Z3E3S3 / 6H3R3E3 regimens alone. Observe the absorption of lung lesions after treatment, sputum negative conversion situation. Results The rate of sputum negative conversion at the end of February was 96 0% and 78 3% in group A and B respectively, 92 0% and 69 8% in group C and D, respectively 98 0% and 87 0%; Group C, D 96 0% and 77 8%. At the end of treatment, the effective rate of chest X-ray improvement was 96 0% and 84 8% in group A and B, and 92 0% and 73 3% in group C and D, respectively. Empty closed A, B, C, D group were 80 9%, 6 3 2%, 76 0%, 60 9%. CONCLUSION Wulubinsi can improve the sputum negative conversion rate, promote the absorption of lesions and improve the activity of immune cells, which is a good immunological preparation.