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目的:观察中西医结合治疗耐多药肺结核的疗效。方法:对耐多药肺结核61例随机分为观察组30例及对照组31例。对照组采用全身抗结核方案治疗,观察组在全身抗结核方案治疗的同时,加用局部介入用药并配合中药进行综合治疗。结果:观察组痰菌阴转率96.7%,对照组痰菌阴转率64.5%,两组比较,差异非常显著(P<0.01);观察组病灶总显效率96.7%,对照组病灶总显效率54.7%,两组比较,差异非常显著(P<0.01)。不良反应两组比较,差异不显著(P>0.05)。结论:采用中西医结合治疗耐多药肺结核疗效更为显著。
Objective: To observe the efficacy of integrated traditional Chinese and western medicine in the treatment of multidrug-resistant pulmonary tuberculosis. Methods: 61 cases of MDR-TB were randomly divided into observation group of 30 cases and control group of 31 cases. The control group was treated with systemic anti-TB regimen. The observation group was treated with systemic anti-TB regimen plus local intervention with traditional Chinese medicine. Results: The sputum negative conversion rate was 96.7% in the observation group and 64.5% in the control group. The difference between the two groups was significant (P <0.01). The total effective rate in the observation group was 96.7% 54.7%. There was significant difference between the two groups (P <0.01). Adverse reactions between the two groups, the difference was not significant (P> 0.05). Conclusion: The treatment of multidrug-resistant pulmonary tuberculosis with traditional Chinese and western medicine is more effective.