中药内服外敷治疗化脓性阑尾炎术后并发腹腔脓肿  

Internal and External Treatment of Traditional Chinese Medicine for Intra-abdominal Abscess Postoperative Appendicitis

作　　者：赵冬雨[1] 成丽娅[1] 沈宏[1] 张宁[1] 

机构地区：[1]武警后勤学院附属医院,天津300162

出　　处：《中国实验方剂学杂志》2013年第10期328-330,共3页Chinese Journal of Experimental Traditional Medical Formulae

摘　　要：目的:探讨中药内服外敷治疗化脓性阑尾炎术后并发腹腔脓肿的疗效分析。方法:124例化脓性阑尾炎手术患者术后并发腹腔脓肿患者随机分为对照组60例给予西医常规疗法,治疗组64例给予自拟中药方内服和醋调大黄外敷,两组疗程均为14 d。比较两组患者临床疗效,体温复常、血象复常、脓肿消失时间、肠鸣音回复、腹痛消失、排便时间、住院天数,以及并发症(切口感染、盆腔脓肿、肠间脓肿、肠粘连)及复发率。结果:治疗组总有效率92.2%,优于对照组的78.4%(P<0.05);治疗组与对照组体温复常时间为(2.8±0.9),(4.1±0.6)d、血象复常时间(5.9±0.10),(7.8±0.7)d、脓肿消失时间(2.9±0.9),(4.5±0.6)d、肠鸣音恢复时间(38.5±1.7),(59.1±1.4)h、首次排便时间(3.2±3.2),(5.6±3.8)d、腹痛消失时间(4.3±3.0),(7.1±3.2)d、总住院天数(6.7±0.9),(8.5±0.6)d,治疗组均短于对照组(P<0.05);术后治疗组出现切口感染、肠粘连并发症及复发例数少于对照组(P<0.05)。结论:中药内服外敷治疗脓肿性阑尾炎,可以提高临床有效率,改善临床症状,减少术后并发症。Objective： To investigate the effect of internal and external treatment of traditional Chinese medicine for intra-abdominal abscess postoperative appendicitis. Method： One hundred and twenty-four cases of suppurative appendicitis patients complicated with postoperative abdominal abscess were randomly divided into control group of 60 cases given western medicine routine treatment, and the treatment group of 64 examples given Chinese medicine internal and external treatment. The clinical curative effect, clinical symptoms （the body temperature to restore normal, blood picture back to normal, abscess disappeared, bowel sound recovery, abdominal pain disappear and defecation time, and hospitalization days） in the two groups were compared. And the complications （infection of incision, increase of pelvic abscess, between intestinal abscess, intestinal adhesion） and the recurrence rate were also compared. Result： The total effective rate was 78.4% and 92.2% in the control group and the treatment group accordingly （P〈0.05）. The normalization time for body temperature was （4.1±0.6）, （2.8±0.9） d, for blood picture （7.8±0.7）, （5.9±0.10） d, for abscess （4.5±0.6）, （2.9±0.9） d, for bowel sound （59.1±1.4）, （38.5±1.7） h, for the first bowel movement （5.6±3.8）, （3.2±3.2） d, for abdominal pain improvement （7.1±3.2）, （4.3±3.0） d and for hospitalization days （8.5, 6.7） d in controls and treatment group respectively （P〈0.05）. The postoperatie infection rate of incision was （13.3%, 3.1%）, intestinal adhesion （25.0%, 7.8%）, relapse （16.7%, 4.7%）in the controls and in the treatment group accordingly （P〈0.05）. Conclusion： The internal and external treatment of traditional Chinese medicine for intra-abdominal abscess postoperative appendicitis can improve clinical efficient, improve the clinical symptoms and reduce postoperative complications.

关 键 词：化脓性阑尾炎 中药 内服 外敷 

分 类 号：R287[医药卫生—中药学]