超声电导透药在结核性胸膜炎治疗中的应用价值  

Curative effects of the electro-phonophoresis in tuberculous pleurisy

作　　者：陈永芳 任欣欣[2] CHEN Yongfang;REN Xinxin(不详;First Tuberculosis Department,Hebei Chest Hospital,Shijiazhuang 050041,China)

机构地区：[1]河南省传染病医院老年结核病科,河南郑州450001 [2]河北省胸科医院结核一科,河北石家庄050041

出　　处：《中国中西医结合影像学杂志》2020年第6期605-608,共4页Chinese Imaging Journal of Integrated Traditional and Western Medicine

摘　　要：目的:探讨超声电导透药在结核性胸膜炎辅助治疗中的作用。方法:选取88例初治结核性胸膜炎患者,按照完全随机法(抽签法)分为常规治疗组(采用常规治疗方案)和超声电导透药组(常规治疗+超声电导透药)各44例。治疗2个月后比较2组总有效率、胸腔积液引流总量、胸膜厚度、胸腔积液吸收时间及胸腔积液包裹情况。结果:常规治疗组和超声电导透药组治疗总有效率分别为93.2%(41/44)、95.5%(42/44),差异无统计学意义(χ^2=0.345,P=0.557);胸腔积液引流总量分别为(1839.09±543.00)、(1996.27±896.44)mL,差异无统计学意义(t=-0.995,P=0.323);胸膜厚度分别为(0.39±0.14)、(0.21±0.13)mm,差异无统计学意义(t=6.136,P=0.184);胸腔积液完全吸收时间分别为(16.7±3.4)、(13.3±4.5)d,差异有统计学意义(t=5.209,P=0.046)。2组治疗后包裹性胸腔积液发生率与治疗前比较均增加,差异均有统计学意义(χ^2=7.543,P=0.006;χ^2=9.318,P=0.020);2组治疗后包裹性胸腔积液发生率分别为45.5%(20/44)、36.7%(16/44),差异无统计学意义(χ^2=0.752,P=0.386)。结论:在结核性胸膜炎抗结核药物治疗及引流胸腔积液的同时,辅助超声电导透药治疗,对胸腔积液的吸收有促进作用,可应用于临床中。Objective:To analyze the effects of the electro-phonophoresis in treatment of tuberculous pleuritis.Methods:Eighty-eight cases of tuberculous pleuritis were collected.All of the patients were given regular treatment with anti-tuberculosis drugs and thoracentesis treatment.All of the patients who were diagnosed with tuberculous pleuritis were randomized divided into two groups,a control group and a electro-phonophoresis group according to the random number method.The treatment improvement rates,the extinction time of pleural effusion,the pleural thickness and the encapsulated of tuberculous pleurisy patients between the two groups were compared.Results:The treatment improvement rates of the control group and the electro-phonophoresis group were 93.2%(41/44)and 95.5%(42/44),and there was no significant difference between the two groups(χ^2=0.345,P=0.557).The total amount of pleural effusion of the control group and the electro-phonophoresis group were(1839.09±543.00)mL and(1996.27±896.44)mL,and there was no significant difference between the two groups(t=-0.995,P=0.323).The pleural thickness of the control group and the electro-phonophoresis group were(0.39±0.14)mm and(0.21±0.13)mm,and there was no significant difference between the two groups(t=6.136,P=0.184).The extinction time of pleural effusion of the control group and the electro-phonophoresis group were(16.7±3.4)d and(13.3±4.5)d,and there was significant difference between the two groups(t=5.209,P=0.046).In the two groups,the percents of encapsulated of tuberculosis pleurisy patients after the treatment were higher before the treatment.The percent of encapsulated of tuberculous pleurisy patients after the treatment of the control group and the electro-phonophoresis group were 45.5%(20/44)and 36.7%(16/44),and there was no significant difference(χ^2=0.752,P=0.386).Conclusions:In the treatment of tuberculous pleuritis,the effect of electro-phonophoresis treatment is better than the control group,which can promote effusion absorption more rapidly.And it

关 键 词：结核 胸膜 超声透入疗法 治疗效果 对比研究 

分 类 号：R521.7[医药卫生—内科学] R445.1[医药卫生—临床医学]