三黄膏、止痛膏治疗脓肿溃疡型淋巴结核的疗效探讨

Effect Observation of San Huang Plaster and Analgesic Plaster on Abscess and Ulcer Scrofula

目的探讨三黄膏、止痛膏治疗脓肿、溃疡型淋巴结核的疗效。方法抗痨基础上将190例行病灶清除术后的脓肿、溃疡型淋巴结核患者,按照配对研究原则分为2组,实验组采用三黄膏、止痛膏分阶段换药,对照组采用异烟肼纱条换药。统计两组的治愈率、治愈时间和随访1年的复发率。结果实验组在第1、2、3周及1月时的治愈率均高于对照组,差异有统计学意义(P<0.05);其中脓肿型淋巴结核在1、2、3周时实验组的治愈率高于对照组,差异有统计学意义(P<0.05),但在1月时的治愈率差异无统计学意义(P=0.079);溃疡型淋巴结核在第2周时出现治愈者,在第2、3周和1月时实验组的治愈率均高于对照组,差异有统计学意义(P<0.05))。实验组创口愈合(15.69±6.974)d,对照组(24.63±10.085)d,差异有统计学意义(P=0.00);随访1年,两组病人淋巴结局部均无复发。结论在规范抗痨并病灶清除术基础上使用三黄膏、止痛膏分阶段换药治疗脓肿、溃疡型淋巴结核治愈率高,疗程短。

Objective To observe the effect of San Huang plaster and analgesic plaster on abscess and ulcer scrofula. Methods This is a 1:1 matched case-control study. All patients were undergone focal cleaning and regularly anti-tuberculosis treatment, 95 patients used San Huang plaster and analgesic plaster at different stages in case group and the same number of peoples used isoniazide sliver in control group for comparative study. To observe the cure rate and the healing-time, the relapse rate were observed after 1 year. Results The cure rate in the case group was significantly higher than that of the control group in the first, second,third week and the first month(P<0.05). The cure rate of abscess scrofula in the case group was significantly higher than that of in the control group in the first, second,and third(P<0.05) week, with statistical significance. However, that was not statistically significant in the first month(P>0.05).Ulcer scrofula began to be cured in the second week, the cure rate in the case group was significantly higher than that of in the control group in the second, third week and the first month(P<0.05),with statistical significance.The time required for wound-healing in the case group was(15.69±6.974)days, that of control group is(24.63±10.085)days, with statistical significance(P=0). The patients of two groups have been followed up 1 year, there was no replace. Conclusion San Huang plaster and Analgesic plaster on abscess and ulcer scrofula at different stages has higher cure rate and shorter healing-time which based on anti-tuberculosis treatment and focal cleaning.