首页|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

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

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

Active pulmonary tuberculosisBaibai Kanglao Granules2HRZE/4HR regimen

董振岭

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510000 广州市司法局戒毒医院住院部综合内科

活动性肺结核 白百抗痨颗粒 2HRZE/4HR方案

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
年,卷(期):2024.19(18)