摘要
目的:探讨结核性胸膜炎的治疗方法。方法:对176例初治结核性胸膜炎随机分为3组。Ⅰ组应用2SHRZ/4HRE,Ⅱ组在Ⅰ组方案中加用激素,Ⅲ组在Ⅱ组方案中强化期加左氧氟沙星辅助治疗。观察6个月,分析3组疗效。结果:患者在症状及胸液吸收方面有显著性差异(P<0.01),Ⅱ组与Ⅲ组对比(P>0.05),无显著差异。结论:在初治结核性渗出性胸膜炎时,选用合理化疗方案,加用激素,积极抽出胸腔积液是治疗的关键。若用左氧氟沙星辅助治疗未增加疗效。
Objective： To discuss the method of tuberculous pleurisy treat Ment. Methods：Totally 176 patients with tuberculous pleurisy who were first treated were enrolled and randomly divided into three groups （I , Ⅱ, Ⅲ ） . The I group were treated with 2SHRZ/4HRE ; the II group were treated with 2SHRZ/4HRE and hormone ; the m group applied the levofloxacin in strengthening period more than the II group＇s treat ment. The three groups patients were observed for six monthes and then the therapeutic effect was analyzed. Results： The patients were significantly different on symptom and hydrothorax absorb （ P 〈 0.01） ,The II group and the III group had no difference （ P 〉 0.05 ） in results . Conclusion： When tuberculous exadative pleurisy was first treated, the adoption of rationalization chemschedule with hormone and extracting pleural effusion was the key point of cure. The levofloxacin as an adjunctive therapy could not make for therapeutic effect .
出处
《河北医学》
CAS
2008年第8期922-924,共3页
Hebei Medicine
