超声电导仪辅助治疗结核性渗出性胸膜炎的临床疗效观察  

Clinical effect of Eletrophonophoresis adjuvant treatment on tuberculous pleurisy

作　　者：冯士生[1] 梁建琴[1] 王金河[1] 陈志[1] 史晓鹏[1] 杨海英[1] 

机构地区：[1]解放军第309医院全军结核病研究所,北京100091

出　　处：《临床肺科杂志》2012年第7期1267-1268,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的评价全身抗结核治疗联合超声电导仪辅助治疗结核性渗出性胸膜炎的临床疗效观察。方法 80例初治结核性渗出性胸膜炎患者随机分为治疗组及对照组。对照组患者采取全身抗结核治疗及胸膜腔穿刺抽液术。治疗组在对照组基础上联合使用超声电导仪靶向药物治疗。结果治疗12周后,治疗组显效率(85%)及总有效率(95%)均分别高于对照组显效率(65%)及总有效率(80%),差异有统计学意义(P<0.05);胸水吸收时间治疗组11±5.1 d少于对照组14±4.9 d,差异有统计学意义(P<0.05);体温恢复正常时间两组比较差异无统计学意义(P>0.05)。结果超声电导仪靶向药物辅助治疗结核性渗出性胸膜炎能提高临床疗效,有很好的辅助效果。Objective To evaluate the clinical effect of Electrophonophoresis （EPP） with antituberculosis agents on tuberculous pleurisy. Methods 80 patients with exudative tuberculous pleurisy under initial treatment were randomly divided into two groups. The control group were treated with antituberculosis agents. In addition to the therapy of the control group, the treatment group accept the adju- vant treatment of electrophonophoresis. Results After 12 weeks of treatment, the obvious effective rate （85%） and total effective rate （95%） of the treatment group were higher than those of the control group （65%, 80%, respectively）, with statistical differences be- tween the two groups （P 〈0. 05）. Time of hydrothorax absorption （11 ：t：5.1 days） in the treatment group was less than that （14 ~4. 9 days） in the control group, with statistical differences between the two groups （ P 〈 0. 05 ）. But comparing the time of body temperature backing to normal between the two groups, the difference had no statistical significance （ P 〉 0. 05 ）. Conclusion Targeted medicine by electrophonophoresis has good auxiliary effect for the treatment of tuberculous pleurisy and can improve the clinical effect. It is an effective and safe therapy method.

关 键 词：结核性渗出性胸膜炎 超声电导仪 治疗 

分 类 号：R521.7[医药卫生—内科学]