CAJ | 학술논문

目的比较三种不同方法治疗结核性胸腔积液的临床疗效.方法 108例结核性胸腔积液患者采用随机单盲的分配方式分为A组、B组和C组,每组36例,A组给予自制中药制剂配合中心静脉导管胸腔注药引流,B组给予微创胸腔闭式引流术,C组给予常规胸腔穿刺术,对三组的临床疗效、并发症以及住院费用等情况进行对比分析.结果三组患者有效率分别为97.2％、83.3％、61.1％,三组总有效率差异均有统计学意义(x2=12.90、14.17、15.28,均P＜0.05)；A组患者结核性胸腔积液消失最快、住院相应总费用最低且并发症最少,其次为B组,C组最差,三组差异均有统计学意义(均P ＜0.05).结论中药制剂配合中心静脉导管胸腔注药引流术治疗结核性胸腔积液有良好的临床效果,值得进一步推广应用.
목적 비교삼충불동방법치료결핵성흉강적액적림상료효.방법 108례결핵성흉강적액환자채용수궤단맹적분배방식분위A조、B조화C조,매조36례,A조급여자제중약제제배합중심정맥도관흉강주약인류,B조급여미창흉강폐식인류술,C조급여상규흉강천자술,대삼조적림상료효、병발증이급주원비용등정황진행대비분석.결과 삼조환자유효솔분별위97.2％、83.3％、61.1％,삼조총유효솔차이균유통계학의의(x2=12.90、14.17、15.28,균P＜0.05)；A조환자결핵성흉강적액소실최쾌、주원상응총비용최저차병발증최소,기차위B조,C조최차,삼조차이균유통계학의의(균P ＜0.05).결론 중약제제배합중심정맥도관흉강주약인류술치료결핵성흉강적액유량호적림상효과,치득진일보추엄응용.
Objective To compare the clinical efficacy of three different methods in treatment of tuberculous pleural effusion.Methods 108 patients with tuberculous pleural effusion were divided into three groups by randomized single blind methods,and each group had 36 cases.Group A was given Chinese medicine formulations and central venous catheter pleural drainage for injection,group B was given minimally invasive thoracic closed drainage,while group C was given conventional pleural puncture.The clinical efficacy,complications and hospitalization corresponding cost were compared in three groups.Results The clinical effective rates of the three groups were 97.2％,83.3％,61.1％ (x2 =12.90,14.17,15.28,all P ＜ 0.05).In group A,the tuberculous pleural effusion disappearedfastest,hospitalization corresponding cost was lowest and less complications,followed by group B,and group C was the worst,there were statistically significant differences (all P ＜ 0.05).Conclusion Chinese medicine formulations combined with central venous catheter drainage in the treatment of tuberculous pleural effusion has good clinical effecacy,and it is an effective treatment method,which is worth to be further promoted in clinical.