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[目的]观察中西医结合治疗肺结核顽固性咯血的临床疗效。[方法]观察48例,西药治疗对照组17例,中西医结合治疗组31例,均给予西药抗结核(复治)标准治疗方案及止血、护肝治疗3周后,对照组调整止血治疗,治疗组加用中医药辨证治疗。[结果]治疗组咯血症状1周内改善2例,2周内27例,2周以上为2例;对照组咯血症状1周内改善1例,2周内11例,2周以上5例。经统计学分析,P<0.02。[结论]中西医结合治疗组病情改善显著快于西药组。
[Objective] To observe the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of tuberculosis intractable hemoptysis. [Methods] 48 cases were observed, 17 cases were treated with western medicine and 31 cases were treated by integrated traditional Chinese and western medicine. All cases were given standard treatment of anti-tuberculosis (re-treatment) of western medicine and hemostasis. Treatment group plus traditional Chinese medicine treatment. [Results] In the treatment group, hemoptysis symptoms improved in 2 cases in 1 week, 27 cases in 2 weeks and 2 cases in 2 weeks. In the control group, 1 case improved in 1 week, 11 cases in 2 weeks and 5 cases more than 2 weeks. After statistical analysis, P <0.02. [Conclusion] The TCM-WM combination group improved significantly faster than western medicine group.