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目的:观察中医清热化痰法防治肺癌根治术后肺不张的临床疗效。方法:选择本院住院患者80例,随机分为治疗组40例与对照组40例,两组均予常规治疗,治疗组用中药清热化痰汤剂口服;对照组用盐酸氨溴索口服。比较两组临床疗效(患者症状、体征)、血液检查及影像检查。结果:在降低肺不张发生率方面二者无明显差异;而在降低白细胞计数,减轻炎症方面,治疗组亦优于对照组;结论:中医清热化痰法防治肺叶切除术后肺不张有着较好疗效。
Objective: To observe the clinical effect of clearing away heat and removing phlegm method on prevention and treatment of atelectasis after radical operation of lung cancer. Methods: Eighty hospitalized patients were randomly divided into treatment group (40 cases) and control group (40 cases). Both groups were given routine treatment. The treatment group was given Qingre Huatan decoction orally; the control group was given ambroxol hydrochloride orally. The clinical efficacy (symptoms and signs), blood tests and imaging examination were compared between the two groups. Results: There was no significant difference between the two groups in reducing the incidence of atelectasis; while in reducing the white blood cell count and reducing the inflammation, the treatment group was superior to the control group. Conclusion: The method of clearing away heat and resolving phlegm with prevention and treatment of atelectasis after lobectomy Good effect.