关键词: 结核, 淋巴结/中西医结合疗法, 脓肿

Abstract: Objective To observe the effect of combined treatment of traditional Chinese medicine and wes-tern medicine on tuberculosis of cervical lymph nodes with cold abscess. Methods Sixty-four patients with tuberculosis of cervical lymph nodes and cold abscess who were treated in our hospital in the past four years (2007—2012) were study objects. They were randomly divided into 2 groups. The patients in the first group (control group) didn’t adopt traditional Chinese medicine, they were treated by 4HRZE/8HR regimen, after surgical debridement local wound was performed the isoniazid (50 mg/ml) flushing followed by oil gauze tamponade. The patients in the second group (combined treatment group) adopted 4HRZE/8HR and traditional Chinese medicine Jieheling, after surgical debridement local wound was performed the isoniazid (50 mg/ml) flushing followed by oil gauze tamponade with traditional Chinese medicine pills (the major constituents were calcined gypsum, yellow lead, dragon’s blood and borneol, etc.). STATA 8.0 was used for analysis. Chi-square test was apllied to compare the difference of cure rates and relapse rates of the two groups, P<0.05 was considered statistically significant.  Results The cure rate of the combined treatment group (81.25%, 26/32) was significantly higher than that of the control group (53.13%, 17/32) (χ²=6.74, P<0.05). The relapse rate of the combined treatment group (7.69%, 2/26) were significantly lower than the control group (35.29%, 6/17) (χ²=5.17, P<0.05).  Conclusion Combined treatment of traditional Chinese medicine and western medicine on tuberculosis of cervical lymph nodes with cold abscess has higher cure rate and lower relapse rate than western medicine treatment.

Key words: Tuberculosis, lymph node/combined therapy of Chinese and Westen medicine, Abscess