中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
25期
182-184
,共3页
郭小玲%王永斌%汪鲲%赵春林
郭小玲%王永斌%汪鯤%趙春林
곽소령%왕영빈%왕곤%조춘림
淋巴结核%脓肿型%溃疡型%病灶清除术%中药外治
淋巴結覈%膿腫型%潰瘍型%病竈清除術%中藥外治
림파결핵%농종형%궤양형%병조청제술%중약외치
Scrofula%Abscess%Ulcer%Focal cleaning%External treatment by Chinese herbal
目的:探讨三黄膏、止痛膏治疗脓肿、溃疡型淋巴结核的疗效。方法抗痨基础上将190例行病灶清除术后的脓肿、溃疡型淋巴结核患者,按照配对研究原则分为2组,实验组采用三黄膏、止痛膏分阶段换药,对照组采用异烟肼纱条换药。统计两组的治愈率、治愈时间和随访1年的复发率。结果实验组在第1、2、3周及1月时的治愈率均高于对照组,差异有统计学意义(P<0.05);其中脓肿型淋巴结核在1、2、3周时实验组的治愈率高于对照组,差异有统计学意义(P<0.05),但在1月时的治愈率差异无统计学意义(P=0.079);溃疡型淋巴结核在第2周时出现治愈者,在第2、3周和1月时实验组的治愈率均高于对照组,差异有统计学意义(P<0.05))。实验组创口愈合(15.69±6.974)d,对照组(24.63±10.085)d,差异有统计学意义(P=0.00);随访1年,两组病人淋巴结局部均无复发。结论在规范抗痨并病灶清除术基础上使用三黄膏、止痛膏分阶段换药治疗脓肿、溃疡型淋巴结核治愈率高,疗程短。
目的:探討三黃膏、止痛膏治療膿腫、潰瘍型淋巴結覈的療效。方法抗癆基礎上將190例行病竈清除術後的膿腫、潰瘍型淋巴結覈患者,按照配對研究原則分為2組,實驗組採用三黃膏、止痛膏分階段換藥,對照組採用異煙肼紗條換藥。統計兩組的治愈率、治愈時間和隨訪1年的複髮率。結果實驗組在第1、2、3週及1月時的治愈率均高于對照組,差異有統計學意義(P<0.05);其中膿腫型淋巴結覈在1、2、3週時實驗組的治愈率高于對照組,差異有統計學意義(P<0.05),但在1月時的治愈率差異無統計學意義(P=0.079);潰瘍型淋巴結覈在第2週時齣現治愈者,在第2、3週和1月時實驗組的治愈率均高于對照組,差異有統計學意義(P<0.05))。實驗組創口愈閤(15.69±6.974)d,對照組(24.63±10.085)d,差異有統計學意義(P=0.00);隨訪1年,兩組病人淋巴結跼部均無複髮。結論在規範抗癆併病竈清除術基礎上使用三黃膏、止痛膏分階段換藥治療膿腫、潰瘍型淋巴結覈治愈率高,療程短。
목적:탐토삼황고、지통고치료농종、궤양형림파결핵적료효。방법항로기출상장190례행병조청제술후적농종、궤양형림파결핵환자,안조배대연구원칙분위2조,실험조채용삼황고、지통고분계단환약,대조조채용이연정사조환약。통계량조적치유솔、치유시간화수방1년적복발솔。결과실험조재제1、2、3주급1월시적치유솔균고우대조조,차이유통계학의의(P<0.05);기중농종형림파결핵재1、2、3주시실험조적치유솔고우대조조,차이유통계학의의(P<0.05),단재1월시적치유솔차이무통계학의의(P=0.079);궤양형림파결핵재제2주시출현치유자,재제2、3주화1월시실험조적치유솔균고우대조조,차이유통계학의의(P<0.05))。실험조창구유합(15.69±6.974)d,대조조(24.63±10.085)d,차이유통계학의의(P=0.00);수방1년,량조병인림파결국부균무복발。결론재규범항로병병조청제술기출상사용삼황고、지통고분계단환약치료농종、궤양형림파결핵치유솔고,료정단。
Objective To observe the effect of San Huang plaster and analgesic plaster on abscess and ulcer scrofula. Methods This is a 1:1 matched case-control study. All patients were undergone focal cleaning and regularly anti-tuberculosis treatment, 95 patients used San Huang plaster and analgesic plaster at different stages in case group and the same number of peoples used isoni-azide sliver in control group for comparative study. To observe the cure rate and the healing-time, the relapse rate were observed after 1 year. Results The cure rate in the case group was significantly higher than that of the control group in the first, second, third week and the first month (P<0.05). The cure rate of abscess scrofula in the case group was significantly higher than that of in the control group in the first, second,and third(P<0.05) week, with statistical significance. However, that was not statistically signifi-cant in the first month(P>0.05).Ulcer scrofula began to be cured in the second week, the cure rate in the case group was signifi-cantly higher than that of in the control group in the second, third week and the first month (P<0.05),with statistical significance. The time required for wound-healing in the case group was (15.69±6.974)days, that of control group is(24.63±10.085)days, with statistical significance (P=0). The patients of two groups have been followed up 1 year, there was no replace. Conclusion San Huang plaster and Analgesic plaster on abscess and ulcer scrofula at different stages has higher cure rate and shorter healing-time which based on anti-tuberculosis treatment and focal cleaning.