超声微波透入抗结核药物及激素在治疗粘连包裹型结核性腹膜炎中的疗效观察

Ultrasonic microwave penetration of anti tuberculosis drugs and hormones in the treatment of adhesive clinical observation of encapsulated tuberculous peritonitis

目的探讨超声微波透入抗结核药物及激素在治疗粘连包裹型结核性腹膜炎中的临床应用疗效。方法选取诊断为粘连包裹型结核性腹膜炎的患者80例,随机分为观察组和对照组,每组40例。对照组采用单纯抗结核药物治疗,观察组加用超声微波局部药物透入治疗,每天1次,每次30 min,15天为1个疗程,观察2个疗程,进行疗效评价。结果观察组腹腔积液总消退率为72.50%,明显高于对照组45.00%,比较差异有统计学意义(P<0.05)。观察组患者发热、腹胀、腹痛、腹泻、呕吐、便秘症状较对照组比较差异具有统计学意义(P<0.05)。结论超声微波透入抗结核药物及激素治疗粘连包裹型结核性腹膜炎能有助于提高腹腔积液的消退及症状的改善,是治疗粘连包裹型结核性腹膜炎的有效方法之一。

Objective To explore the clinical application of ultrasound microwave penetration of anti tuberculosis drugs and hormones in thetreatment of loculated tuberculous peritonitis in effect.Methods80patients with tuberculous peritonitis were randomly divided into the observationgroup and the control group,40cases in each groups.The control group treated by anti tuberculosis drug treatment,observation group were treatedwith ultrasonic and microwave local drug therapy,once a day,every30minutes,15days for a course,two courses of treatment,efficacy evaluation.Results In the observation group,the total resolution rate of peritoneal effusion was72.50%,which was significantly higher than that of the controlgroup,and the difference was statistically significant(P<0.05).Patients with fever,abdominal distension,abdominal pain,diarrhea,vomiting,constipationsymptoms than the control group(P<0.05).Conclusion Ultrasonic microwave penetration of anti tuberculosis drugs and hormone treatmentof loculated tuberculous peritonitis can help improve symptoms subsided and peritoneal effusion improvement is one of effective methods in treatingloculated tuberculous peritonitis.