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目的:观察中西医结合治疗创伤性慢性股骨骨髓炎的临床疗效。方法:选取浙江省立同德医院2009年12月-2014年6月收治的慢性创伤性股骨骨髓炎患者52例,随机分为对照组及观察组各26例。对照组治疗采用手术清除病灶及联合敏感抗生素为主,观察组在采用手术清除病灶、敏感抗生素治疗的同时内服加减五味消毒饮。结果:观察组在治疗后血沉、白细胞、中性粒细胞均显著低于对照组(P<0.05)。观察组总有效率为92.3%,显著高于对照组的84.6%(P<0.05)。结论:中西医结合的治疗方法能够促进创伤性慢性股骨骨髓炎局部病灶的愈合及全身状态的改善,疗效显著,建议临床推广使用。
Objective: To observe the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of traumatic chronic femoral osteomyelitis. Methods: Fifty-two patients with chronic traumatic femoral osteomyelitis who were treated in Tongde Hospital of Zhejiang Province from December 2009 to June 2014 were randomly divided into control group and observation group of 26 cases. The control group was treated by surgical removal of the lesion and the combination of sensitive antibiotics. The observation group was treated with the removal of the lesion and the sensitive antibiotics, while the oral administration plus or minus the Wuwei Disinfection Beverage. Results: The levels of erythrocyte sedimentation rate, white blood cells and neutrophils in the observation group after treatment were significantly lower than those in the control group (P <0.05). The total effective rate in the observation group was 92.3%, significantly higher than that in the control group (84.6%, P <0.05). Conclusion: The combination of TCM and Western medicine treatment can promote the healing of local lesions of traumatic chronic femoral osteomyelitis and the improvement of general condition, with significant curative effect. It is suggested that it should be used clinically.