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目的:观察磁疗仪穴位照射辅助药物治疗结核性渗出型腹膜炎的临床疗效。方法:将80例结核性渗出型腹膜炎患者随机分为观察组(40例)和对照组(40例)。两组均予标准化抗结核治疗、腹腔穿刺抽液等基础治疗,观察组同时采用磁疗仪穴位(中极、关元、水道)照射,每天2次,每次30~45min。1个月为一疗程,3个疗程后观察两组疗效、腹水完全吸收率及并发症情况。结果:观察组患者总有效率、腹水完全吸收率均高于对照组[95.0%(38/40)vs 80.0%(32/40),90.0%(36/40)vs 70.0%(28/40),均P<0.05];观察组出现腹膜肥厚、肠粘连或包裹性积液4例,对照组出现以上并发症者11例,观察组并发症发生率少于对照组(P<0.05)。结论:磁疗仪穴位照射辅助治疗结核性渗出型腹膜炎较单纯抗结核药疗效确切。
Objective: To observe the clinical efficacy of magnetic therapy acupoint irradiation adjuvant therapy in the treatment of tuberculous exudative peritonitis. Methods: Eighty patients with tuberculous exudative peritonitis were randomly divided into observation group (40 cases) and control group (40 cases). The two groups were given standard anti-TB treatment, abdominal puncture and other basic treatment, the observation group using magnetic therapy points (Zhongji, Guan Yuan, waterway) irradiation, 2 times a day, each time 30 ~ 45min. 1 month for a course of treatment, after 3 courses observed two groups of efficacy, complete absorption rate of ascites and complications. Results: The total effective rate and complete ascites absorption rate in the observation group were significantly higher than those in the control group [95.0% (38/40) vs 80.0% (32/40), 90.0% (36/40) vs 70.0% (28/40) , All P <0.05]. In the observation group, there were 4 patients with peritoneal hypertrophy, intestinal adhesion or encapsulated effusion, and 11 patients with complication in the control group. The incidence of complications in the observation group was less than that in the control group (P <0.05). Conclusion: Magnetic therapy acupoint irradiation adjuvant treatment of tuberculous exudative peritonitis than the simple anti-tuberculosis drugs curative effect.