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目的为提高复治、难治肺结核病患者的疗效,采用中西医结合的方法,提高治愈率。方法回顾性分析新疆霍城县疾病预防控制中心结核病防治科门诊,运用山西运城安国中医结核病医院研制的“回生灵”纯中药系列和抗痨西药相结合,治疗难治、复治肺结核病患者的治疗效果。结果运用“回生灵”纯中药和西药抗痨药物相结合治疗1~2个月后,82例难治、复治肺结核病患者症状明显改善,疗程结束后,98.00%的肺结核病患者临床症状,化疗药物毒副反应全部消失;X线病灶全部吸收20例、占24.40%,病灶明显吸收50例(病灶吸收≥2/3)、占60.98,病灶有所吸收10例(病灶吸收≤1/3)、占12.20%,病灶未吸收或扩大2例、占2.44%;伴有空洞30例,治疗结束后(空洞闭合或病灶缩小≥1/2)25例、占83.33%,伴有胸水10例,胸水全部吸收;痰菌阴转60例,阴转率73.17%,治疗后患者血沉、肝功异常者全部恢复正常。结论中西医结合治疗难治、复治肺结核病患者,在症状学、影像学、细菌学方面都获得了较好的疗效,值得临床广泛推广和应用。
Objectives To improve the curative effect of retreatment and refractory pulmonary tuberculosis patients, the method of integrative medicine is adopted to improve the cure rate. Methods A retrospective analysis of tuberculosis prevention and treatment department of Huocheng County Center for Disease Control and Prevention in Xinjiang Uygur Autonomous Region was conducted. The combination of pure Chinese herbal medicine and anti-tang medicine developed by Shanxi Yuncheng Anguo Chinese Medicine Tuberculosis Hospital was used to treat refractory and retreatment tuberculosis Patient’s therapeutic effect. Results With the combination of pure Chinese medicine and western medicine anti-tuberculosis drugs, the symptoms of 82 refractory and retreatment tuberculosis patients were significantly improved after treatment for 1 to 2 months. After the treatment was over, 98.00% of tuberculosis patients were clinically Symptoms and chemotherapy drugs all side effects disappeared; X-ray lesions were completely absorbed in 20 cases, accounting for 24.40%, 50 lesions were significantly absorbed (lesions absorbed ≥ 2/3), accounting for 60.98, 10 lesions were absorbed (lesions ≤ 1 / 3), accounting for 12.20%. The lesions were not absorbed or enlarged in 2 cases, accounting for 2.44%. There were 30 cases with voids and 25 cases (83.33%) with pleural effusion after treatment (empty closure or lesion shrinkage≥1 / 2) 10 cases, pleural effusion all absorbed; sputum Yin 60 cases, negative conversion rate 73.17%, after treatment, patients with ESR, abnormal liver function returned to normal. Conclusion Integrative treatment of refractory patients, re-treatment of pulmonary tuberculosis in patients with symptoms, imaging, bacteriology obtained good effect, it is worth widely clinical application.