CAJ | 학술논문

目的：观察中西医结合治疗慢性骨髓炎的疗效。方法本研究为前瞻性研究，即2004年01月-2010年02月笔者所在医院收治的共121例慢性骨髓炎患者随机分为3组进行治疗。中医治疗组应用参芪扶正汤内服，骨疽易消散外用（以上中药均为院内经验方剂）；西医治疗组应用手术清除死骨及窦道，术后持续灌流冲洗2～3周，常规换药，全身应用敏感抗生素；中西医结合组在全身应用抗生素和清除死骨、窦道的基础上给予参芪扶正汤内服，术后外用骨疽易消散治疗。结果121例均获随访，时间8～56个月，平均30个月。中医治疗组总有效率达66．7％，西医治疗组总有效率54．8％，中西医结合组总有效率88．9％；中医治疗组平均住院治疗时间59．3 d，西医治疗组平均住院治疗时间74．6 d，中西医结合组平均住院治疗时间43．7 d。中西医结合组疗效、平均住院治疗时间与中医治疗组、西医治疗组比较有显著性差异（P＜0．01）。结论中西医结合治疗慢性骨髓炎疗效优于中医或西医单纯治疗，且缩短治疗时间。
목적：관찰중서의결합치료만성골수염적료효。방법본연구위전첨성연구，즉2004년01월-2010년02월필자소재의원수치적공121례만성골수염환자수궤분위3조진행치료。중의치료조응용삼기부정탕내복，골저역소산외용（이상중약균위원내경험방제）；서의치료조응용수술청제사골급두도，술후지속관류충세2～3주，상규환약，전신응용민감항생소；중서의결합조재전신응용항생소화청제사골、두도적기출상급여삼기부정탕내복，술후외용골저역소산치료。결과121례균획수방，시간8～56개월，평균30개월。중의치료조총유효솔체66．7％，서의치료조총유효솔54．8％，중서의결합조총유효솔88．9％；중의치료조평균주원치료시간59．3 d，서의치료조평균주원치료시간74．6 d，중서의결합조평균주원치료시간43．7 d。중서의결합조료효、평균주원치료시간여중의치료조、서의치료조비교유현저성차이（P＜0．01）。결론중서의결합치료만성골수염료효우우중의혹서의단순치료，차축단치료시간。
Objective To investigate the clinical effect of chronic osteomyelitis treated with integrated therapy of Chinese and Western medicine. Methods This study is a prospective one. A total of 121 cases of chronic osteomyelitis(from January 2002 to February 2010) were divided into three groups:respectively treated with methods of traditional Chinese medicine (TCM), methods of Western medicine and integrated therapy of both. Results All the patients were followed up (ranged from 8 to 56 months),with average of 30 months. The total effective rate of cases treated with methods of TCM was 66.7%,that of cases treated with methods of Western medicine 54.8%,that of cases treated with integrated therapy 88.9%;The average period of hospitalization of cases treated with methods of TCM was 59.3 days,that of cases treated with methods of Western medicine 74.6 days, that of cases treated with integrated therapy 43.7 days. There was significant difference among three groups in total effective rate and average period of hospitalization (P<0.01). Conclusion The effect of chronic osteomyelitis treated with integrated therapy is superior to alone TCM or with Western medicine ,and its treatment time could be shortened.