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中国防痨杂志 ›› 2010, Vol. 32 ›› Issue (8): 38-41.

• 论著 • 上一篇    下一篇

肺泰胶囊辅助治疗初治涂阳肺结核的疗效及安全性研究

范琳, 史祥, 桂徐蔚, 葛燕萍, 杨妍, 蒋瑞华, 顾瑾   

  1. 同济大学附属上海市肺科医院/上
  • 出版日期:2010-08-20 发布日期:2010-08-20

Efficacy and safety of Feitai capsule in adjuvant chemotherapy for new patients with smear positive pulmonary tuberculosis

Fan Lin; Shi Xiang; Gui Xuwei; Ge Yanping; Yang Yan; Jiang Ruihua; Gu Jin   

  1. Shanghai pulmonary Hospital affiliated to Tongji University; Shanghai key Laboratory of Tuberculosis (Lung); Shanghai 200433; China;
  • Online:2010-08-20 Published:2010-08-20
  • Contact: Fan Lin E-mail:fanlinsj@yahoo.com.cn

摘要: 目的 研究肺泰胶囊辅助治疗初治涂阳肺结核的疗效及安全性。 方法 采用前瞻性对照研究对2006年6月—2007年6月期间符合入选标准的初治涂阳肺结核120例,治疗组标化方案联合肺泰胶囊,对照组单用标化方案。记录治疗前、疗程2个月末、6个月末的疗效指数、X线胸片、痰菌、空洞的变化及不良反应。 结果(1)治疗组及对照组分别有57例、55例完成该试验;(2)治疗组在疗程2个月末、6个月末的疗效指数高于对照组,t值分别为2.13、2.32, P<0.05;治疗组的X线胸片病灶吸收率、痰菌阴转率、6个月末的空洞闭合率均高于对照组,P值均<0.05;(3)口服肺泰胶囊的不良反应发生率仅5.3%(3/57)。 结论 肺泰胶囊可有效缓解肺结核病人的临床症状,可辅助标化方案提高病灶的吸收率、空洞的闭合率及痰菌的阴转率,且长期口服安全性较高。

关键词: 结核, 肺/中药疗法;抗结核药(中药);治疗效果

Abstract: Objective To evaluate the efficacy and safety of feitai capsule,a kind of Chinese traditional medicine, as adjuvant treatment for new patients with smear positive pulmonary tuberculosis. Methods 120 new cases with smear positive pulmonary tuberculosis which were prospectively enrolled from June 2006-June 2007 were assigned into either to receive standard anti-TB regimen with feitai capsule(treatment arm) or to receive standard anti-TB regimen only (control arm). Index of efficacy for symptoms, rates of sputum conversion, X-rays focus absorption and cavity closed at the end of the second month and the sixth month during the course of treatment were recorded.  Results 57 cases in treatment group and 55 cases in the control completed the treatment. The therapeutic index, rates of sputum conversion, X-rays focus absorption and cavity closed in the treatment group were higher than those of control group after six months during the course of treatment(P<0.05). The rate of side effects on feitai capsule was only 5.26%(3/57). Conclusion s Fetai capsule can effectively alleviate the symptoms of TB patients, also improve the rate of focus absorption, cavity closed and sputum conversion, and long-term using is safe.

Key words: tuberculosis,pulmonary/traditional Chinese drug theropy, autitubercular agents(TCD), treatment outcome

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