中药外敷联合微波辅助治疗结核性腹膜炎临床研究  

Clinical Efficacy of TCM External Application Combined with Microwave Assisted Therapy on Tuberculous Peritonitis

作　　者：张燕 仵倩红 

机构地区：[1]陕西省结核病防治院,陕西西安710100

出　　处：《中医学报》2017年第12期2512-2515,共4页Acta Chinese Medicine

基　　金：陕西省卫生科研基金项目(2012D65)

摘　　要：目的:观察中药外敷联合微波辅助治疗结核性腹膜炎的临床疗效。方法:选取180例结核性腹膜炎患者作为研究对象进行前瞻性研究。将所有患者随机分为研究组(90例)和对照组(90例)。两组均予6HRZE/12HRE标准化抗结核、激素、腹腔穿刺抽液等基础治疗,研究组同时进行中药封包外敷联合微波辅助治疗。3个月后观察两组患者的疗效、腹水吸收时间、抽腹水次数及并发症情况。结果:3个月后,研究组患者有效率为93.3%,显著高于对照组(66.6%)(P<0.05)。研究组患者腹水吸收时间及抽腹水次数分别为(32.6±1.9)d和(4.1±1.3)次,均显著少于对照组的(60.2±2.7)d和(10.6±1.8)次(P<0.05);研究组和对照组分别有12例(13.3%)和30例(33.3%)患者出现腹膜肥厚、肠粘连或包裹性积液,研究组的并发症发生率显著低于对照组(P<0.05)。结论:与基础治疗相比,中药封包联合微波辅助治疗结核性腹膜炎的有效率更高,临床疗效更好,并发症的发病率更低。Objective： To observe the clinical efficacy of external application of traditional Chinese medicine combined with microwave assisted treatment of tuberculous peritonitis（ TBP）. Methods： A total of 180 cases of patients with TBP were randomly divided into study group（ 90 cases） and control group（ 90 cases）. All patients in the two groups were treated with 6 HRZE/12 HRE standardization,anti-tuberculosis,hormone,peritoneal fluid drainage and other basic treatment. Patients in the study group were treated with TCM external application combined with microwave assisted therapy. After 3 months,the curative effect,the time of ascites absorption,the number of pumping ascites and the complications in the two groups were observed. Results： The mean duration of follow up was 13 months,ranged from 8 to 16 months. There was no significant difference between the two groups in basic information such as age and sex（ P〈0. 05）. After 3 months of treatment,the total efficiency of the treatment in study group was 93. 3%,which was significant higher than that in control group（ 66. 6%）（ P〈0. 05）. The time of ascites absorption and the number of pumping ascites was（ 32. 6 ± 1. 9） days and（ 4. 1 ± 1. 3） times respectively,both significant shorter than in control group[（ 60. 2 ± 2. 7） days and（ 10. 6 ± 1. 8） times respectively]（ P〈0. 05）. There were 12 cases（ 13. 3%） and 30 cases（ 33. 3%）of patients respectively who underwent peritoneal hypertrophy,intestinal adhesion or encapsulated effusion in the study group and the control group,the incidence of complications in the study group was significantly lower than that in the control group（ P〈0. 05）. Conclusion： Compared with the basic treatment,TCM external application combined with microwave assisted therapy was more effective in the treatment of TBP,and had better clinical efficacy and lower incidence of complications,worthy of expansionand application.

关 键 词：结核性腹膜炎 中药外敷 微波辅助治疗 中医药疗法 

分 类 号：R259.722[医药卫生—中西医结合]