中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2015年
22期
7-10
,共4页
罗换新%王志新%王长安%张开%耿昕%张凯
囉換新%王誌新%王長安%張開%耿昕%張凱
라환신%왕지신%왕장안%장개%경흔%장개
慢性骨髓炎%西医治疗%中医药治疗%机制
慢性骨髓炎%西醫治療%中醫藥治療%機製
만성골수염%서의치료%중의약치료%궤제
Chronic osteomyelitis%Western medicine treatment%TCM treatment%Mechanism
髓炎具有疗效高、复发率低的优点,调节机体免疫应答、降低炎症反应可能是其重要的机制。
髓炎具有療效高、複髮率低的優點,調節機體免疫應答、降低炎癥反應可能是其重要的機製。
수염구유료효고、복발솔저적우점,조절궤체면역응답、강저염증반응가능시기중요적궤제。
Objective: To observe efficacy of the debridement plus TCM medicine on chronic osteomyelitis. Methods: 120 cases of chronic osteomyelitis were randomly divided into the study group and the control group, 60 cases for each group. The control group took conventional surgery and antibiotic treatment; the study group was added the Jiangu decoction. Results: In the study group, the cured, improved, invalid were 37 cases (61.67%), 19 cases (31.67%) and 4 cases (6.67%); In the control group those were 26 cases (43.33%), 21 cases (35.00% ) and 13 cases (21.67%); the difference was statistically significant,Z =-2.392,P=0.017. In the study group WBC, ESR, h-CRP, IL-2, IL-6 and IgG improvement were better,P=0.000. The recurrence rate were 5.4% and 26.9%,x2 = 5.885,P = 0.015. Conclusion: Debridement plus TCM medicine for chronic osteomyelitis can get high efficacy, low recurrence rate, modulation of immune response, and reduce inflammation.