CAJ | 학술논문

目的：系统评价中西医结合治疗丹毒的疗效。方法计算机检索与手检结合查找中西医结合治疗丹毒的随机对照试验（ RCT），同时手检纳入研究的参考文献。试验组为在常规处理措施相同的基础上中西医结合治疗给药（包括中医的口服方剂、外敷给药、针络拔罐等方法），对照组为单一的西医治疗给药。由2名评价者独立进行文献质量评价和数据提取后，应用Review Manager 5．0软件进行分析评价。结果共纳入27项研究，均显示中西医结合治疗丹毒的有效率和治愈率显著高于单一的西医治疗；治愈时间和复发率也显著低于单一的西医治疗。结论中西医结合治疗丹毒疗效确切，其治疗方法多样，在改善临床症状、控制病情发展等方面有独特的优势。
목적：계통평개중서의결합치료단독적료효。방법계산궤검색여수검결합사조중서의결합치료단독적수궤대조시험（ RCT），동시수검납입연구적삼고문헌。시험조위재상규처리조시상동적기출상중서의결합치료급약（포괄중의적구복방제、외부급약、침락발관등방법），대조조위단일적서의치료급약。유2명평개자독립진행문헌질량평개화수거제취후，응용Review Manager 5．0연건진행분석평개。결과공납입27항연구，균현시중서의결합치료단독적유효솔화치유솔현저고우단일적서의치료；치유시간화복발솔야현저저우단일적서의치료。결론중서의결합치료단독료효학절，기치료방법다양，재개선림상증상、공제병정발전등방면유독특적우세。
Objective It is to systematically assess the efficacy of the treatment of erysipelas with combination of traditional Chinese and western medicine.Methods Published papers about treatment of erysipelas with combination of traditional Chi-nese and western medicine discussed by randomized-control trials ( RCT) were collected by electronic searching and hand searching, and the references included were searched by hand searching.The test group was treated with combine traditional Chinese and western medicine( including oral decoction, external treatment with TCM and acupuncture or cupping) on the ba-sis of normal therapy, and then control group was only treated with western medicine.The quality of the papers were evaluated independently by two valuators and the analysis was performed by Review Manager5.0 software.Results There were 27 RCT collected finally, which showed that the effective rate and curing rate both of combination of traditional Chinese and western medicine were significantly higher while curing time and recurrence rate were lower than that of simple western medicine thera-py .Conclusion Combination of traditional Chinese and western medicine had confirmed curative effect on erysipelas with many ways, which had unique advantages in improving symptoms, controlling development of the disease.