超声电导仪治疗颈部淋巴结结核的临床观察.pdf

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1、医械临床IClinicalMedicalEauiDment·71·超声电导仪治疗颈部淋巴结结核的临床观察陈志，梁建琴，王金河，冯士生，丁娜，杨海英[摘要]目的：观察超声电导仪治疗颈部淋巴结结核的临床疗效和安全性。方法：将48例颈部淋巴结结核患者随机分为治疗组和对照组．每组各24例，2纽均以常规抗结核化疗方案为基础，治疗组加用超声电导仪经皮导入异烟肼注射液、硫酸阿米卡星注射液，对照组加用局部注射异烟肼注射液、硫酸阿米卡星注射液，并追踪观察治疗结果和并发症。结果：以患者治疗后的主要症状、体征缓解情况，局部超声捡查等为疗效判断依据，评价治疗结果：治疗组经2个疗程

2、治疗后好转率明显高于对照组(P

3、n—he，FENGShi—sheng，DINGNa，YANGHai—ying(InstituteofTuberculosis，the309thHospitalofthePLA，Beijing100091，China)AbstractObjectiveToobselweeficacyandsafetyoftreatmentf0rcervicallymphoidtuberculosisbyeleetrophonophoresis(EPP)．Methods48patientswithcervicallymphoidtuberculosiswererandomly

4、dividedintotreatmentgroupandcontrolgroup，eachgrouphas24ones．Onthebasisofantitubereulosischemotherapy，thepatientsfronttreatmentgroupweretreatedbyEPPtotransfuseisoniazidandanfikacinsulfatethroughtransdermal，andthecontrolgroupwastreatedbylocaliniectionofisoniazidandamikacinsulfate．Th

5、eneffieacyandcomplicationsaftertreatmentwerefollowedup．R咖】tBEficacywasassessedaccordingtosymptoms，physicalsignsandlocalultrasoundaftertreatment．Aftertwo—coursetreatment．thetreatmentgrouphadhigherimprovementratethanthecontrolgroup<0．05)．Seriousadversereactionsandcomplicationshadnot

6、befoundinallthepatients．ConclusionTreatmentwithelectr0phonophoresiscanincreaseimprovementrateofcervicallymphoidtuberculosis．Moreover，itdoesnthaveseriousadversereactionsandcomplicationsan(1isaneft)ctiveandsafemethodfortrealmentofcervica1lymphoidtuberculosis．『ChineseMedicaIEquipment

7、dournaI，2011，32(3)：71—721Keywordseleetrophonophoresis；lymphoidtuberculosis；clinical1一般资料导人药物：异炯肼注射液0．1g／支，批弓：090319，天津药观察对象来自于2009一O7—2Ol0—02期间我科住院患业集团新郑股份有限公司。者。所有观察范围内患者均经症状、体征、PPD试验、颈部淋巴硫酸阿米卡星注射液0-2g／支，批号：090501，上海旭东海结超、颈部CT、颈部淋巴结针吸活检等，明确诊断为淋巴结普药业有限公司。结核，确诊诊断标准参照《现代结核病学》中淋巴结结核相

8、关3治疗方法章节⋯、将患者随机分为治疗组和对照组各24例。在治疗组