中西医综合治疗恶性胸腔积液的临床疗效观察

Clinical observation on the treatment of malignant pleural effusion with comprehensive treatment of traditional Chinese and Western medicine

关键词:  胸腔积液  胸腔闭式引流  中西医综合治疗

Key words:  pleural effusion  closed thoracic drainage  integrated treatment of Chinese and Western medicine

摘要:

[目的]观察中西医综合治疗对采用胸腔闭式引流治疗胸腔积液临床疗效。[方法]选择2017年1-6月接受治疗的60例胸腔积液患者，随机分成两组，对照组采用常规治疗，治疗组在对照组的基础上给予中西医综合治疗。[结果]两组患者性别、年龄、发病类型、肿瘤标记物等方面无统计学差异（P>0.05），经治疗14 d后，对照组和治疗组的总有效率分别为56.7%、83.3%，临床肿瘤标记物方面，治疗组较对照组降低更明显。生活质量比较上治疗组较对照组能更好改善患者临床症状。[结论]中西医综合治疗可以提高采用胸腔闭式引流治疗恶性胸腔积液的患者临床疗效。

Abstract:

[Objective] To observe the clinical effect of comprehensive treatment of traditional Chinese and Western medicine on pleural effusion with closed thoracic drainage.[Methods] The 60 patients with pleural effusions who were treated from January 2017 to June 2017 were randomly divided into two groups. The control group was treated with routine treatment. The treatment group was given integrated treatment of traditional Chinese and western medicine on the basis of the control group.[Results] There was no significant difference in gender, age, pathogenesis, and tumor markers between the two groups (P>0.05). After 14 days of treatment, the total effective rates in the control and observation groups were 56.7% and 83.3%, respectively. With respect to tumor markers, the treatment group showed a more pronounced reduction than the control group. Compared with the control group, the quality of life of the treatment group was better than that of the control group. The satisfaction of the effect was 25 cases in the control group and 28 cases in the treatment group.[Conclusion] Integrated Chinese and Western medicine can improve the clinical efficacy of patients with malignant pleural effusion treated with closed thoracic drainage.