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[目的]观察中药汤剂联合西医治疗胸膜炎疗效。[方法]将我院90例胸膜炎患者随机分为治疗组及对照组,对照组45例采用西医常规脱水、止血、消炎、抑酸等,加强营养支持治疗,治疗组在对照组基础上加用中药汤剂(药用沙参、柴胡、葶苈子、益母草、麦冬、茯苓,等)。两组疗程均为2-6周为1疗程,治疗1疗程后进行疗效判定。[结果]治疗组总有效率93.33%,对照组总有效率80.00%,治疗组临床疗效优于对照组(P<0.05)。复查X线临床症状消,病情基本稳定。治疗组药物性肝损害4例,对照组药物性肝损害3例,差异无统计学意义(P>0.05)。[结论]中西医结合治疗胸膜炎能相互协调,共奏补虚、活血、行气、利水的功效,达到标本兼治之功。
[Objective] To observe the curative effect of traditional Chinese medicine decoction and western medicine on pleurisy. [Methods] Ninety patients with pleurisy in our hospital were randomly divided into treatment group and control group. In the control group, 45 cases were treated with routine western medicine dehydration, hemostasis, anti-inflammatory and acid suppression to strengthen nutrition support. The treatment group was added on the basis of the control group Chinese medicine decoction (medicinal ginseng, Bupleurum, razor clam, motherwort, Radix, Poria, etc.). Two courses of treatment are 2-6 weeks for a course of treatment, the efficacy of treatment after a course of treatment. [Results] The total effective rate was 93.33% in the treatment group and 80.00% in the control group. The clinical efficacy of the treatment group was better than that of the control group (P <0.05). X-ray review of clinical symptoms disappeared, the disease was basically stable. There were 4 cases of drug-induced liver damage in the treatment group and 3 cases of drug-induced liver damage in the control group, with no significant difference (P> 0.05). [Conclusion] Integrative treatment of pleurisy can coordinate with each other and play a total of tonic, blood circulation, qi, water effect, to achieve the power of treating both symptoms and symptoms.