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目的探讨强的松递减疗法应用于结核性胸膜炎治疗的临床效果,总结其治疗经验。方法 90例结核性胸膜炎患者随机分为对照组和观察组,每组45例,对照组应用常规化疗方案,观察组在此基础上加用强的松,比较两组临床疗效。结果对照组治疗后总有效率为75.56%,治疗组治疗后总有效率为93.33%,两组临床疗效经比较,差异有统计学意义(P<0.05)。治疗组发热消退时间、胸水消失时间均明显优于对照组,差异有统计学意义(P<0.05)。结论强的松递减疗法应用于结核性胸膜炎的治疗疗效显著,不良反应少,可显著改善患者结核中毒症状,值得临床推广。
Objective To investigate the clinical effect of descending treatment of prednisone in the treatment of tuberculous pleurisy and to summarize its experience of treatment. Methods Ninety patients with tuberculous pleurisy were randomly divided into control group and observation group, with 45 cases in each group. The control group was given conventional chemotherapy. On the basis of this, prednisone was used in the observation group to compare the clinical curative effect. Results The total effective rate of the control group after treatment was 75.56%, and the total effective rate of the treatment group after treatment was 93.33%. There was significant difference between the two groups in clinical efficacy (P <0.05). The treatment group fever subsided time, pleural effusion disappeared significantly better than the control group, the difference was statistically significant (P <0.05). Conclusions The treatment of tuberculous pleurisy with prednisone descending therapy has significant curative effect, less adverse reactions, and can significantly improve the symptoms of tuberculosis in patients. It is worthy of clinical promotion.