CAJ | 학술논문

目的：探讨中西医结合治疗结核性肺源性心脏病(肺心病)的临床效果。方法选取本院2013年1月~2014年1月收治的60例结核性肺心病急性发作期患者为研究的对象。根据随机数字表法将患者分为治疗组和对照组，每组30例。对照组实施常规西医治疗，治疗组在对照组基础上加用痰热清注射液，比较两组的临床效果。结果两组治疗前的各项症状积分及总积分比较，差异无统计学意义(P>0.05)；治疗后，两组的各项症状评分均有所下降，治疗组的各项症状积分及总积分均显著低于对照组(P<0.05)。治疗组的总有效率为90.0%，显著高于对照组的70.0%(P<0.05)。结论中西医结合治疗结核性肺心病可显著改善临床症状，有效提高临床效果，值得推广应用。
목적：탐토중서의결합치료결핵성폐원성심장병(폐심병)적림상효과。방법선취본원2013년1월~2014년1월수치적60례결핵성폐심병급성발작기환자위연구적대상。근거수궤수자표법장환자분위치료조화대조조，매조30례。대조조실시상규서의치료，치료조재대조조기출상가용담열청주사액，비교량조적림상효과。결과량조치료전적각항증상적분급총적분비교，차이무통계학의의(P>0.05)；치료후，량조적각항증상평분균유소하강，치료조적각항증상적분급총적분균현저저우대조조(P<0.05)。치료조적총유효솔위90.0%，현저고우대조조적70.0%(P<0.05)。결론중서의결합치료결핵성폐심병가현저개선림상증상，유효제고림상효과，치득추엄응용。
Objective To explore the clinical effect of integrated traditional Chinese and western medicine treating tu-berculo-pulmonary heart disease. Methods 60 patients with tuberculo-pulmonary heart disease at acute attack stage admitted into our hospital from January 2013 to January 2014 were selected as research objects.They were evenly divid-ed into treatment group and control group according to random number table method.In the group,regular western medicine treatment was applied,while in treatment group,on the basis of control group,Tanreqing injection was added. The clinical efficacy between two groups was compared. Results There was no statistical difference in symptom score of each item or total score before treatment (P>0.05).After treatment,symptom score of each item in two groups both de-creased.The symptom score of each item and total score in treatment group were much higher than that in control group with statistical differences (P<0.05).The total effective rate in treatment group (90.0%) was obviously higher than that of control group (70.0%) (P<0.05). Conclusion In the treatment of tuberculo-pulmonary heart disease, integrated of tradi-tional Chinese and western medicine can significantly improve the clinical symptoms and effect,and it is worthy of pro-motion and application.