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目的:观察中西医结合治疗骨与关节结核的疗效。方法:将86例患者随机分为2组,对照组42例采用常规西药治疗,治疗组44例在对照组治疗基础上加用中药治疗。结果:治疗组显效10例,有效33例,无效1例,总有效率为97.73%;对照组显效2例,有效20例,无效20例,总有效率为52.38%。2组比较,差异有显著性意义(P<0.05)。治疗组转氨酶升高者1例,消化道不良反应者3例,副作用发生率9.1%;对照组转氨酶升高者3例,消化道不良反应者7例,白细胞减少者1例,副作用发生率26.2%。2组副作用发生率比较,差异有显著性意义(P<0.05)。结论:中西医结合治疗骨与关节结核较单纯用西医治疗效果好。
Objective: To observe the curative effect of integrated traditional Chinese and western medicine on bone and joint tuberculosis. Methods: Eighty-six patients were randomly divided into two groups. In the control group, 42 cases were treated with conventional western medicine. Forty-four cases in the treatment group were treated with traditional Chinese medicine on the basis of the control group. Results: In the treatment group, 10 cases were markedly effective, 33 cases were effective, 1 case was ineffective, and the total effective rate was 97.73%. In the control group, 2 cases were markedly effective, 20 cases effective and 20 ineffective. The total effective rate was 52.38%. The difference between the two groups was significant (P <0.05). 1 case of elevated aminotransferase in treatment group, 3 cases of adverse gastrointestinal tract, 9.1% incidence of side effects; control group, elevated aminotransferase in 3 cases, 7 cases of gastrointestinal adverse reactions, 1 cases of leukopenia, the incidence of side effects 26.2 %. The incidence of side effects in the two groups, the difference was significant (P <0.05). Conclusion: Integrative treatment of bone and joint tuberculosis is more effective than Western medicine alone.