自拟行气消瘰汤治疗局限性淋巴结肿大的疗效观察  

The effects of the Xingqi Xiaoluo decoction on localized lymphadenopathy

作　　者：龚声敏 梁木荣 石慧芳 陈永辉 Gong Shengmin

机构地区：[1]连州市人民医院,广东连州513400

出　　处：《中医临床研究》2021年第8期108-111,共4页Clinical Journal Of Chinese Medicine

摘　　要：目的:观察自拟行气消瘰汤治疗局限性淋巴结肿大的疗效。方法:将连州市人民医院2019年1月-12月收治以局限性淋巴结肿大为诊断的患者总计60例,以随机数字法分成治疗组与对照组,各30例,其中对照组患者以常规西药抗生素治疗,治疗组患者采取自拟行气消瘰汤治疗。对照两组患者治疗前、后的炎性指标水平、淋巴结大小、中医证候积分,临床治疗效果及并发症发生情况,分析其统计学差异。结果:两组患者治疗前各项炎症指标水平的差异无统计学意义(P> 0.05)。治疗后两组患者的炎性指标水平明显降低,而治疗组患者各指炎症指标水平明显少于对照组,差异具有统计学意义(P <0.01)。治疗前两组患者淋巴结大小比较,差异无统计学意义(P> 0.05)。治疗后两组患者淋巴结大小明显减少,而治疗组患者淋巴结大小明显小于对照组,差异具有统计学意义(P <0.01)。两组患者治疗前中医证候积分相比较,差异无统计学意义(P> 0.05)。治疗后两组患者中医证候积分明显降低,而治疗组患者中医证候积分明显低于对照组,差异具有统计学意义(P <0.01)。治疗后治疗组患者治疗总有效率明显高于对照组,差异具有统计学意义(P <0.05)。治疗组患者并发症发生率明显低于对照组,差异具有统计学意义(P <0.05)。结论:在局限性淋巴结肿大患者的治疗中,采取自拟行气消瘰汤治疗,与常规西药二代头孢类抗生素对比,可明显降低患者治疗后淋巴结大小,可明显降低患者治疗后的炎症指标水平,降低中医证候积分,提升临床治疗效果,无明显并发症,值得临床推广。Objective: To observe the effect of the Xingqi Xiaoluo decoction(行气消瘰汤) on localized lymphadenopathy. Methods: 60 cases in our hospital were divided into the treatment group(30 cases) and the control group(30 cases) by random number method. The control group was treated with antibiotics of conventional Western medicine, and the treatment group was treated with the Xingqi Xiaoluo decoction. Results: There was no statistically significant difference in the levels of various inflammation indexes before treatment between the groups(P>0.05). After treatment, the levels of inflammatory indexes in the groups were significantly reduced, while the inflammatory indexes levels in the treatment group were significantly less than the control group, and the difference was statistically significant(P<0.01). After treatment, the lymph node size in the groups was significantly reduced, while the lymph node size in the treatment group was significantly smaller than the control group(P<0.01). After treatment, the TCM symptom scores in the groups were decreased significantly, while the TCM symptom scores in the treatment group were significantly lower than the control group, P<0.01. After treatment, the total efficiency in the treatment group was significantly higher than the control group, P<0.05. The incidence of complications in the treatment group was significantly lower than that in the control group, P<0.05. Conclusion: Treating localized lymphadenopathy with the Xingqi Xiaoluo decoction can significantly reduce the lymph node size, inflammation indexes levels, decrease TCM symptom scores, improve clinical treatment effects, and without obvious complication compared with conventional Western medicine. It is worthy of clinical promotion.

关 键 词：自拟行气消瘰汤 局限性 淋巴结肿大 

分 类 号：R654.7[医药卫生—外科学]