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目的:观察中西医结合疗法治疗肾移植术后肺感染患者的临床疗效。方法:将2003年10月至2005年7月住院的54例肾移植术后肺感染患者,随机分为治疗组(30例)和对照组(24例)。治疗组采用中药清瘟败毒饮加减、激素、抗病毒、抗细菌、对症及支持疗法等联合用药,对照组未用中药,其余处理与治疗组相同。结果:治疗组30例,痊愈25例,好转3例,死亡2例,痊愈率83.3%,总有效率93.3%;对照组24例,痊愈12例,好转4例,死亡8例,痊愈率50.0%,总有效率66.7%。两组疗效比较差异显著。结论:在西医常规治疗基础上,加用清热解毒,凉血泻火,活血化瘀的中药清瘟败毒饮加减,对于肾移植术后肺感染具有较好的治疗作用。
Objective: To observe the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of patients with lung infection after renal transplantation. Methods: Fifty-four patients with post-transplant lung infection admitted from October 2003 to July 2005 were randomly divided into treatment group (30 cases) and control group (24 cases). The treatment group was treated with the combination of Chinese herbal medicine Qingre Huibuduan, hormones, antivirus, antibacterial, symptomatic and supportive therapies. The control group did not use traditional Chinese medicine and the rest were the same as the treatment group. Results: In the treatment group, 30 cases were cured, 25 cases recovered, 3 cases improved, 2 died, the cure rate was 83.3% and the total effective rate was 93.3%. In the control group, 24 cases were cured, 12 cases recovered, 4 cases improved and 8 died. The cure rate was 50.0 %, The total effective rate of 66.7%. There was significant difference between the two groups. Conclusion: Based on the routine treatment of Western medicine, adding Qingrejiedu, Xiexuehuoxue, blood circulation and removing blood stasis of traditional Chinese medicine Qingwenbaiduduyan addition and subtraction, for the treatment of lung infection after kidney transplantation has a good therapeutic effect.