摘要
目的观察穿孔性阑尾炎术后联合通腑泄热方的治疗效果,总结急性阑尾炎中西结合治疗经验,为临床治疗提供依据。方法选取118例穿孔性阑尾炎患者,按照随机数字表法分为观察组与对照组各59例,两组患者均进行阑尾切除与腹腔冲洗引流术,术后对照组采用常规西药进行抗炎治疗,观察组在此基础上采用通腑泄热方(大黄牡丹汤合红藤煎加减)进行治疗,观察两组患者治疗后临床治疗效果;观察两组患者治疗前后中医症状体征评分;术后腹胀感消失时间、通气时间、胃肠功能恢复时间;术后3 d平均体温、术后拔管时间、抗生素使用时间;并对比两组患者用药后不良反应情况。结果观察组治疗后总有效率为96.61%,显著高于对照组的76.27%(P <0.05);治疗后两组中医症状体征评分均明显降低,但观察组中医症状体征中胃脘痞满、腹痛、纳呆、舌质红、舌苔黄腻得分均低于对照(P <0.05)。观察组患者术后腹胀感消失时间、通气时间、胃肠功能恢复时间、术后拔管时间显著短于对照组(P <0.05);术后3 d平均体温观察组更加趋于正常,对照组体温起伏相对较大(P <0.05);抗生素使用时间显著少于对照组(P <0.05);观察组在治疗期间不良反应总发生率显著低于对照组(P <0.05)。结论穿孔性阑尾炎术后常规西医治疗联合通腑泄热方(大黄牡丹汤合红藤煎加减)效果显著,明显改善患者临床症状,且可缩短胃肠功能恢复时间,不良反应小。
Objective:To study the therapeutic effect of Tongfu Xiere Decoction after operation of perforation appendicitis,and summarize the experience of combining Chinese and Western treatment on acute appendicitis,so as to provide the basis for clinical treatment. Methods:118 patients were randomly divided into the observation group and the control group,59 cases in each. Both groups were treated with appendectomy and abdominal lavage and drainage. The control group was treated with routine Western medicine for anti-inflammation. On this basis,the observation group was treated with Tongfu Xiere Decoction(rhubarb mudan decoction combined with Hongteng decoction). The scores of TCM symptoms and signs,postoperative abdominal distension time,ventilation time,gastrointestinal function recovery time,average body temperature 3 days after operation,extubation time and antibiotic use time were observed in the two groups before and after treatment,and the patients in the two groups were compared. Adverse reactions after treatment. Results:The total effective rate of the observation group was 96.61%,significantly higher than 76.27% of the control group(P < 0.05). After treatment,the scores of symptoms and signs of the two groups were significantly reduced,but the scores of stomachache fullness,abdominal pain,stupor,red tongue and yellow greasy tongue coating in the observation group were lower than those in the control group(P <0.05);the time of abdominal distention disappearance,ventilation,gastrointestinal function recovery and extubation were significantly shorter(P < 0.05);the average body temperature in the observation group was more normal in the third day after operation,and the temperature fluctuation in the control group was relatively large(P < 0.05);the time of antibiotic use was significantly shorter than that in the control group(P < 0.05);the total incidence of adverse reactions in the observation group was significant during the treatment. It was lower than that of the control group(P < 0.05). Conclusion:After the op
作者
于国锋
吴龑玺
居建明
Yu Guofeng;Wu Yanxi;Ju Jianming(Suzhou Hospital of Integrated Traditional Chinese and Western Medi⁃cine,Jiangsu,Suzhou 215101,China)
出处
《中国中医急症》
2019年第12期2190-2193,共4页
Journal of Emergency in Traditional Chinese Medicine
基金
江苏省苏州市中西医结合医院资助项目(YJ2018001)
关键词
穿孔性阑尾炎
通腑泄热方
治疗效果
急性病症
不良反应
Perforation appendicitis
Tongfu Xiere Decoction
Therapeutic effect
Acute disease
Adverse reactions
