中国实用医药2024,Vol.19Issue(18) :131-134.DOI:10.14163/j.cnki.11-5547/r.2024.18.035

白百抗痨颗粒联合2HRZE/4HR治疗活动性肺结核的临床效果研究

Clinical study on the combination of Baibai Kanglao Granules and 2HRZE/4HR in the treatment of active pulmonary tuberculosis

董振岭
中国实用医药2024,Vol.19Issue(18) :131-134.DOI:10.14163/j.cnki.11-5547/r.2024.18.035

白百抗痨颗粒联合2HRZE/4HR治疗活动性肺结核的临床效果研究

Clinical study on the combination of Baibai Kanglao Granules and 2HRZE/4HR in the treatment of active pulmonary tuberculosis

董振岭1
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作者信息

  • 1. 510000 广州市司法局戒毒医院住院部综合内科
  • 折叠

摘要

目的 探究白百抗痨颗粒联合 2HRZE/4HR治疗活动性肺结核的临床效果.方法 86 例活动性肺结核患者为研究对象,应用随机数字表法分为对照组和观察组,各 43 例.对照组应用2HRZE/4HR方案抗结核治疗,观察组应用白百抗痨颗粒联合 2HRZE/4HR方案抗结核治疗.比较两组临床疗效、痰菌转阴率、症状改善时间以及不良反应发生率.结果 观察组治疗总有效率 95.35%明显高于对照组的 81.40%(P<0.05).两组治疗 1 个月后痰菌转阴率比较无明显差异(P>0.05);观察组治疗 3、6 个月后痰菌转阴率分别为 88.37%、95.35%,高于对照组的 69.77%、81.40%(P<0.05).观察组咳嗽缓解时间(8.84±2.36)d、咳痰缓解时间(9.86±2.32)d明显短于对照组的(11.26±2.52)、(12.86±2.85)d(t=4.596、5.435,P=0.000、0.000<0.05).观察组不良反应发生率为 25.58%(11/43),与对照组的 30.23%(13/43)比较无明显差异(P>0.05).结论 白百抗痨颗粒联合 2HRZE/4HR方案能够显著提高活动性肺结核的治疗效果,缩短症状改善时间,且安全性良好,值得推广应用.

Abstract

Objective To explore the clinical effect of combination of Baibai Kanglao Granules and 2HRZE/4HR in the treatment of active pulmonary tuberculosis.Methods 86 cases of patients with active pulmonary tuberculosis were selected as the research subjects.They were randomly divided into a control group and an observation group,with 43 cases in each group.The control group received anti tuberculosis treatment with the 2HRZE/4HR regimen,while the observation group received anti-tuberculosis treatment with the combination of Baibai Kanglao Granules and 2HRZE/4HR regimen.The clinical efficacy,negative sputum conversion rate,symptom improvement time and incidence of adverse reactions were compared between the two groups.Results The total effective rate of 95.35%in the observation group was significantly higher than 81.40%in the control group(P<0.05).There was no significant difference in sputum negative conversion rate between the two groups after 1 month of treatment(P>0.05).The sputum negative conversion rates in the observation group were 88.37%and 95.35%after 3 and 6 months,which were higher than 69.77%and 81.40%in the control group(P<0.05).The remission time of cough and sputum in the observation group were(8.84±2.36)d and(9.86±2.32)d,which were significantly shorter than(11.26±2.52)and(12.86±2.85)d in the control group(t=4.596,5.435;P=0.000,0.000<0.05).The incidence of adverse reactions was 25.58%(11/43)in the observation group,which had no significant difference compared with 30.23%(13/43)in the control group(P>0.05).Conclusion The combination of Baibai Kanglao Granules and 2HRZE/4HR regimen can significantly improve the treatment effect of active pulmonary tuberculosis,shorten the time for symptom improvement,and have good safety,which is worthy of promotion and application.

关键词

活动性肺结核/白百抗痨颗粒/2HRZE/4HR方案

Key words

Active pulmonary tuberculosis/Baibai Kanglao Granules/2HRZE/4HR regimen

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出版年

2024
中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
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