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目的:研究阳和汤结合西医疗法治疗颈淋巴结核的临床效果。方法:将浙江省中西医结合医院2009年6月-2013年3月所收治的79例颈淋巴结核患者分为治疗组40例和对照组39例,对照组采用单纯的西药抗结核治疗,治疗组在西药抗结核治疗的基础上加用中药阳和汤剂,治疗10周后比较两组临床疗效。结果:在临床疗效方面,治疗组总有效率为100%,对照组总有效率89.74%,两组比较差异有统计学意义(P<0.05),在中医症候积分改善方面,两组积分在治疗前无统计学意义,10周治疗后治疗组中医症候积分为4.31+2.04,对照组中医症候积分为9.11+1.86,两组比较有统计学意义(P<0.05)。结论:采用中西医结合疗法治疗颈淋巴结核比单纯西医抗结核治疗疗效显著,同时能较快缓解全身中毒症状及局部症状,缩短疗程,不良反应少,值得临床推广。
Objective: To study the clinical effect of Yanghe Decoction combined with western medicine in treating cervical lymph node tuberculosis. Methods: 79 patients with cervical lymph node tuberculosis admitted to Integrative Medicine Hospital of Zhejiang Province from June 2009 to March 2013 were divided into treatment group (40 cases) and control group (39 cases). The control group was treated with western medicine anti-tuberculosis therapy alone Group in the Western anti-TB treatment based on the use of traditional Chinese medicine Yang and decoction, after 10 weeks of treatment compared the clinical efficacy of both groups. Results: The total effective rate was 100% in the treatment group and 89.74% in the control group, the difference between the two groups was statistically significant (P <0.05). In the improvement of TCM symptom scores, The former had no statistical significance. After 10 weeks of treatment, the TCM symptom score of the treatment group was 4.31 + 2.04, while that of the control group was 9.11 + 1.86. There was significant difference between the two groups (P <0.05). Conclusion: The treatment of cervical lymph node tuberculosis with traditional Chinese and western medicine is more effective than western medicine alone in antituberculous therapy. At the same time, it can relieve symptoms and local symptoms of systemic poisoning more quickly, and shorten the course of treatment. The adverse reaction is worthy of clinical promotion.