中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
18期
95-96,102
,共3页
陈川%汪昌发%汪兰%柯文坤%李明%殷艳%杜区成%桂燃燃%王品
陳川%汪昌髮%汪蘭%柯文坤%李明%慇豔%杜區成%桂燃燃%王品
진천%왕창발%왕란%가문곤%리명%은염%두구성%계연연%왕품
骨痨汤%脊柱结核%临床应用
骨癆湯%脊柱結覈%臨床應用
골로탕%척주결핵%림상응용
Gulao decoction%Spinal tuberculosis%Clinical application
目的:评价骨痨汤辅助治疗脊柱结核的临床效果,以探讨其临床适用性。方法选择2010年6月~2013年4月于本院就诊的初治型脊柱结核患者60例,采用简单随机数字表法分为治疗组30例和对照组30例,两组患者均采用相同的基础治疗方法,包括全身抗结核治疗及手术治疗,治疗组在此基础上加用骨痨汤随证加减治疗。观察两组患者的临床症状消失时间、血沉及C反应蛋白恢复正常时间、骨性融合时间及治疗后的总疗效。结果治疗组患者治疗后午后潮热、盗汗、局部疼痛等症状消失时间较对照组明显缩短,血沉及C反应蛋白恢复正常时间早于对照组,达到骨性融合时间明显早于对照组,差异均有统计学意义(P<0.05),治疗组患者的总有效率为90.0%,对照组为66.7%,两组差异有统计学意义(字2=4.8118,P=0.0283)。结论骨痨汤辅助治疗脊柱结核时可以较快地改善患者的临床症状,促进骨骼愈合,适合临床推广应用。
目的:評價骨癆湯輔助治療脊柱結覈的臨床效果,以探討其臨床適用性。方法選擇2010年6月~2013年4月于本院就診的初治型脊柱結覈患者60例,採用簡單隨機數字錶法分為治療組30例和對照組30例,兩組患者均採用相同的基礎治療方法,包括全身抗結覈治療及手術治療,治療組在此基礎上加用骨癆湯隨證加減治療。觀察兩組患者的臨床癥狀消失時間、血沉及C反應蛋白恢複正常時間、骨性融閤時間及治療後的總療效。結果治療組患者治療後午後潮熱、盜汗、跼部疼痛等癥狀消失時間較對照組明顯縮短,血沉及C反應蛋白恢複正常時間早于對照組,達到骨性融閤時間明顯早于對照組,差異均有統計學意義(P<0.05),治療組患者的總有效率為90.0%,對照組為66.7%,兩組差異有統計學意義(字2=4.8118,P=0.0283)。結論骨癆湯輔助治療脊柱結覈時可以較快地改善患者的臨床癥狀,促進骨骼愈閤,適閤臨床推廣應用。
목적:평개골로탕보조치료척주결핵적림상효과,이탐토기림상괄용성。방법선택2010년6월~2013년4월우본원취진적초치형척주결핵환자60례,채용간단수궤수자표법분위치료조30례화대조조30례,량조환자균채용상동적기출치료방법,포괄전신항결핵치료급수술치료,치료조재차기출상가용골로탕수증가감치료。관찰량조환자적림상증상소실시간、혈침급C반응단백회복정상시간、골성융합시간급치료후적총료효。결과치료조환자치료후오후조열、도한、국부동통등증상소실시간교대조조명현축단,혈침급C반응단백회복정상시간조우대조조,체도골성융합시간명현조우대조조,차이균유통계학의의(P<0.05),치료조환자적총유효솔위90.0%,대조조위66.7%,량조차이유통계학의의(자2=4.8118,P=0.0283)。결론골로탕보조치료척주결핵시가이교쾌지개선환자적림상증상,촉진골격유합,괄합림상추엄응용。
Objective To analyze the clinical applications of Gulao decoction in the treatment of spinal tuberculosis,in order to explore its clinical applications. Methods 60 cases of spinal tuberculosis from June 2010 to April 2013 in our hospital were used randomly number table and divided into the treatment group of 30 patients and the control group of 30 patients, two patients were used the same basic treatment methods,including systemic anti-TB treatment and surgi-cal treatment,while the treatment group on this basis was given Gulao decoction.The disappearing time of the clinical symptoms,blood CRP becoming normal time,bony fusion time and total efficacy after treatment of two groups were ob-served. Results The disappearing time of afternoon hot flashes,night sweats,local pain and other symptoms in the treat-ment group were significantly shorter than the control group,erythrocyte sedimentation rate and C-reactive protein were earlier than the control group,bony fusion time was significantly earlier than the control group,the differences were sta-tistically significant (P<0.05),the therapeutically effective rate of the treatment group was 90.0% in the control group were 66.7%,the difference was statistically significant (χ2=4.8118,P=0.0283). Conclusion Gulao decoction in the treat-ment of spinal tuberculosis can assist rapid improvement of clinical symptoms,promote bone healing,and is suitable for clinical application.