论文部分内容阅读
目的:观察解毒通府汤对急性阑尾炎合并腹膜炎患者术后康复效果的影响。方法:将急性阑尾炎合并腹膜炎术后患者132例随机分为2组各66例,对照组术后给予常规补液、抗生素、纠正水、电解质紊乱等治疗,观察组在对照组的基础上加用解毒通府汤治疗,观察比较2组术后康复效果。结果:总有效率观察组为84.9%,对照组为66.7%,2组比较,差异有统计学意义(P<0.05)。治疗后观察组白细胞计数小于对照组,白细胞计数治疗前后差值大于对照组,差异均有统计学意义(P<0.01)。治疗后观察组发热持续时间、肠鸣音恢复正常时间、自主排气时间、自主排便时间以及住院时间均显著短于对照组(P<0.01)。治疗后观察组消化系统症状评分低于对照组,胃肠功能评分高于对照组,差异均有统计学意义(P<0.01)。结论:解毒通府汤治疗急性阑尾炎合并腹膜炎术后患者疗效显著,能够有效促进患者肠道功能恢复。
Objective: To observe the effect of Jiedutongfu Decoction on postoperative rehabilitation of patients with acute appendicitis and peritonitis. Methods: A total of 132 patients with acute appendicitis and peritonitis were randomly divided into two groups (n = 66 in each group). The control group was given routine rehydration, antibiotics, water and electrolyte disorders. The observation group was treated with detoxification Tongfu decoction treatment, observation and comparison of two groups of postoperative rehabilitation effect. Results: The total effective rate was 84.9% in the observation group and 66.7% in the control group. There was significant difference between the two groups (P <0.05). After treatment, the white blood cell count in the observation group was less than that in the control group, and the difference between before and after the white blood cell count was greater than that in the control group (P <0.01). After treatment, duration of fever, normal bowel sounds, spontaneous excretion, spontaneous defecation and hospital stay were significantly shorter than those in the control group (P <0.01). After treatment, the score of digestive system symptom in the observation group was lower than that of the control group, and the score of gastrointestinal function was higher than that in the control group (P <0.01). Conclusion: The treatment of acute appendicitis complicated with peritonitis by Jiedu Tongfu decoction has significant curative effect and can effectively promote the recovery of intestinal function in patients.