泄毒生新外治法治疗溃疡型淋巴结结核的临床疗效观察

高敏行; 黄子慧; 朱思洵; 高璐珏; 钱佳燕; 陈晓钰; 孙佳玥; 余洋

doi:10.3969/j.issn.2095-6606.2021.05.007

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泄毒生新外治法治疗溃疡型淋巴结结核的临床疗效观察

临床研究 | 更新时间：2021-10-19

- 泄毒生新外治法治疗溃疡型淋巴结结核的临床疗效观察
- Clinical observation of the external application of toxin-discarding and tissue-promoting regeneration method for ulcerative lymph node tuberculosis
- 现代中医临床 2021年28卷第5期页码：28-33
- 作者机构：
  
  南京中医药大学附属南京市中西医结合医院　江苏　 210014
- 作者简介：
  
  高敏行，男，在读硕士生
  # 黄子慧，女，主任中医师，硕士生导师，E-mail：huangzihui73@163.com
- 基金信息：
  
  江苏省中医药科技项目(YB2017042);南京市国家级名中医工作室建设项目，南京市卫计委重点科技项目(ZKX18048);南京市卫健委青年人才项目(QRX17030)
- DOI：10.3969/j.issn.2095-6606.2021.05.007
  中图分类号： R244.9
- 纸质出版日期：2021-09-30，
  
  收稿日期：2020-07-31，
- 稿件说明：
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高敏行, 黄子慧, 朱思洵, 等. 泄毒生新外治法治疗溃疡型淋巴结结核的临床疗效观察[J]. 现代中医临床, 2021,28(5):28-33.

Minxing Gao, Zihui Huang, Sixun Zhu, et al. Clinical observation of the external application of toxin-discarding and tissue-promoting regeneration method for ulcerative lymph node tuberculosis[J]. Modern Chinese Clinical Medicine, 2021,28(5):28-33.
高敏行, 黄子慧, 朱思洵, 等. 泄毒生新外治法治疗溃疡型淋巴结结核的临床疗效观察[J]. 现代中医临床, 2021,28(5):28-33. DOI： 10.3969/j.issn.2095-6606.2021.05.007.

Minxing Gao, Zihui Huang, Sixun Zhu, et al. Clinical observation of the external application of toxin-discarding and tissue-promoting regeneration method for ulcerative lymph node tuberculosis[J]. Modern Chinese Clinical Medicine, 2021,28(5):28-33. DOI： 10.3969/j.issn.2095-6606.2021.05.007.

摘要

目的

观察泄毒生新外治法治疗溃疡型淋巴结结核的临床疗效。

方法

将60例溃疡型淋巴结结核患者随机分为治疗组30例、对照组30例。剔除脱落病例后治疗组30例、对照组26例。治疗组在常规治疗基础上予复方五凤草液治疗，对照组在常规治疗基础上予Ⅱ号丹治疗。观察2组临床疗效、临床体征积分、创面愈合率、创面腐去时间、换药疼痛强度。

结果

2组临床疗效比较，治疗组30例中，治愈14例，好转14例，无效2例，总有效28例，总有效率为93.3%；对照组26例中，治愈11例，好转13例，无效2例，总有效24例，总有效率为92.3%。经秩和检验，

＝-2.45，

＝0.034，

0.05，说明治疗组疗效优于对照组。2组临床体征积分比较，治疗组临床体征积分改善比对照组明显，差异具有统计学意义(

0.01)。2组创面愈合率比较，治疗组愈合率高于对照组，差异具有统计学意义(

0.01)。2组创面腐去时间比较，对照组创面腐去时间比治疗组短，差异具有统计学意义(

0.05)。2组换药疼痛强度比较，治疗组换药疼痛强度明显低于对照组，差异具有统计学意义(

0.05)。

结论

泄毒生新外治法治疗溃疡型淋巴结结核有良好的临床疗效。

Abstract

Objective

To explore the clinical efficacy of toxin-discarding and tissue-regenerating method for ulcerative lymph node tuberculosis.

Methods

Sixty patients with ulcerative lymph node tuberculosis were randomly assigned to the treatment group (

=30) and the control group (

=30). There were 30 cases in the treatment group and 26 cases in the control group

with the withdrawal or drop-outs excluded. The treatment group was treated with compound Wufengcao Liquid in addition to the conventional treatment

and the control group was treated with No.Ⅱ Dan on the basis of the conventional treatment. The clinical efficacy of the two groups

clinical sign scores

the wound healing rate

the time to decompose the wound

and the pain intensity of dressing change were observed.

Results

In terms of the clinical efficacy

of the 30 cases in the treatment group

14 cases were cured

14 cases improved

2 cases were ineffective

with a total effective rate of 93.3%; of the 26 cases in the control group

11 cases were cured and 13 cases improved

2 cases were ineffective

with a total effective rate of 92.3%. After rank sum test

=-2.45

=0.034

0.05

it indicates that the efficacy was higher in the treatment group than in the control group. As for the scores of TCM syndromes

in the two groups

the scores of TCM syndromes improved more in the treatment group than in the control group

and the difference was statistically significant (

0.01). As for the wound healing rate

the healing rate was higher in the treatment group than in the control group

and the difference was statistically significant (

0.01). As for the time of wound decay

the time of wound decay was shorter in the control group than in the treatment group

and the difference was statistically significant (

0.05). As for the pain intensity of dressing change

the pain intensity of dressing change was significantly lower in the treatment group than in the control group

and the difference was statistically significant (

0.05).

Conclusions

The toxin-discarding and tissue-regenerating method has good clinical effects in the treatment of ulcerative lymph node tuberculosis.

关键词

溃疡型淋巴结结核泄毒生新外治临床疗效创面愈合

Keywords

ulcerative lymph node tuberculosistoxin-discarding and tissue-regeneratingexternal treatmentclinical efficacywound healing

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