热物理疗法配合中药腔内灌注治疗恶性胸腔积液49例  

Thermal Physical Therapy Combined with Intracavitary Perfusing of Traditional Chinese Medicine on Treatment of Malignant Pleural Effusion for 49 Cases

作　　者：崔少庸[1] 

机构地区：[1]江西省萍乡市人民医院心胸外科,萍乡337000

出　　处：《中国中医药现代远程教育》2015年第10期19-20,共2页Chinese Medicine Modern Distance Education of China

摘　　要：目的研究热物理疗法联合中药腔内灌注治疗恶性胸腔积液的临床效果。方法将我院2010年8月—2014年12月98例恶性胸腔积液患者抽签随机分为观察组与对照组,两组均为49例,观察组采取热物理疗法配合中药腔内灌注治疗,对照组单纯中药腔内灌注治疗,比较两组临床疗效、血细胞分析结果、生活质量及治疗安全性。结果两组WBC、RBC、PLT水平在同组治疗前后及组间比较无统计学意义(P>0.05);观察组总缓解率为89.80%与对照组71.43%比较明显较高(P<0.05);观察组治疗后KPS评分为(79.34±10.58)分与对照组(71.11±9.64)分比较明显较高(P<0.05),治疗后两组ZPS评分显著降低(P<0.05),但组间比较无统计学意义(P>0.05);观察组5例恶心、呕吐,2例合并血胸,对照组3例恶心、呕吐,1例腔内感染发热,两组不良反应经抗感染等治疗后均短期内改善,不良反应发生率比较无统计学意义(P>0.05)。结论热物理疗法联合中药腔内灌注治疗恶性胸腔积液疗效确切,安全性高,对生活质量改善较为显著,优于单一中药腔内灌注治疗,具有较高的临床应用价值。Objective To study the clinical effect of thermal physical therapy combined with intracavitary perfusing of traditional Chinese medicine on the treatment of malignant pleural effusion. Methods 98 patients with malignant pleural effusion admitted into the hospital from August 2010 to December 2014 were randomly divided into the observation group and the control group, each group had 49 cases.The observation group was treated with thermal physical therapy combined with intracavitary perfusing of traditional Chinese medicine,while the control group received pure intracavitary perfusing of traditional Chinese medicine. The clinical curative effect, the results of blood cell analysis, quality of life and safety of the two groups were compared. Results The comparison of WBC, RBC, PLT levels of the two groups and the same group before and after the treatment were not statistically significant（ P〉0.05）. The total remission rate of the observation group was 89.80% which was significantly higher than 71.43% of the control group P〈0.05）. The KPS score of the observation group after the treatment was（79.34±10.58） which was significantly higher than（71.11±9.64） of the control group（P〈0.05）. ZPS scores of the two groups after the treatment decreased significantly（P〈0.05）, but the comparison between groups was not statistically significant（P〈0.05）. There were 5 cases of nausea and vomiting and 2 cases with hemothorax in the observation group and 3 cases of nausea and vomit-ing and a case of intracavity infection fever in the control group. The adverse reactions of the two groups improved in short term after anti infection and other treatment, and the comparison of the incidence rate of adverse reaction was not statistically significant（ P〉0.05）. Conclusion The curative effect of thermal physical therapy combined with intracavitary perfusing of traditional Chinese medicine on the treat-ment of malignant pleural effusion was accurate and high safety. The treatment can significantly impr

关 键 词：热物理疗法 中药腔内灌注 恶性胸腔积液 

分 类 号：R273[医药卫生—中西医结合]