中西医结合治疗放射性溃疡17例

Observation on 17 Patients of Radio-ulcer with Combined TCM-WM Therapy

用中西医结合治疗放射性溃疡１７例并与单纯西药对照观察，治疗组总疗效（９４．１％）明显优于对照组（５２．９％）．治疗组平均止痛时间６２．１８天，平均疮面液化时间８０．１６天，平均有效时间１０７．５５天，均较对照组短（Ｐ＜０．０１），提示中西医结合治疗有较好的腐脱、敛疮、止痛作用，可加速放射性溃疡的愈合。外治疗法在本病治疗中具有重要作用。

34 radioulcer patients were divided randomly into two groups,the TCM-WM group(17 cases)and the WM group(17 cases).The TCM-WM group was treated mainly with oral administration and external treatment of TCM plus wet-compressing with antibiotics,gradual elimination of necrotic tissue and symptomatic treatment.The latter group was treated with Western medicine therapy only including pain-killer,antibiotics, debridement and dressing change. The results showed that the total effective rate of TCM-WM group was 94.1%,significantly higher than that(52.9%) of WM group(p<0.01).Meanwhile the mean pain-ceasing time,wound-cleaning time and effective time of the TCM-WM group were 62.18,80.16 and 107.55 days respectively,significantly shorter than those(97.29,116.86 and 169.83 days) of WM group(P<0.010-005).This study suggested that the TCM-WM therapy could reduce pain quickly,clean wound well,promote granulation growth and epithelium regeneration so as to accelerate ulcer healing.