Tietze综合征的中西医诊疗探讨

Tietze Syndrome of Traditional Chinese and Western Medicine Diagnosis and Treatment

目的探讨非特异性肋软骨炎(即Tietze综合征)的中西医治疗方法的疗效。方法 2012年1月至2016年1月对收治的Tietze综合征患者31例分别采用中药疗法、抗病毒用药+中药疗法、肋间神经阻滞及硬膜外阻滞方法治疗。观察各种方法治疗后的临床疗效。结果 31例患者治疗后总优良率93.5%,总有效率达100%。其中中药疗法13例,优良率达92.3%;抗病毒+中药疗法8例,优良率达87.5%;肋间神经阻滞6例,优良率达100%;硬膜外阻滞4例,优良率达100%。结论针对不同原因,采取相应治疗方法,对Tieze综合征的诊疗效果是肯定的,且易掌握,便临床推广使用。

Objective To explore the efficacy of nonspecific rib cartilage inflammation( namely Tietze syndrome) with Chinese and western medical treatment. Methods 31 cases of Tietze syndrome patients from January 2012 to January 2016 were treated respectively with traditional Chinese medicine,antiviral treatment plus traditional Chinese medicine,intercostal nerve bloc and epidural anesthesia treatment. Observe the clinical efficacy after the treatment. Results The good effective rate reached 93. 5% and total effective rate was 100%. Among them,13 cases were treated with TCM,the good effective rate was 92. 3%; 8 cases were treated with antiviral treatment plus traditional Chinese medicine,and the good effective rate was 87. 5%; the good effective rate of intercostal nerve bloc was 100%; the good effective rate of epidural anesthesia was100%. Conclusion We shall take appropriate treatment according to different etiology,the effect of Tieze syndrome treatment is positive,which is easy to master and for clinical use.