消脓汤治疗腹部术后残余感染30例临床观察  

Clinical Observation on Treatment for 30 Cases of Residual Infection after Abdominal Surgery with XiaoNongTang

作　　者：赵磊[1] 李强[2] 柴琛[2] 宋爱琳[1] 

机构地区：[1]兰州大学第二医院干部外科,甘肃兰州730030 [2]兰州大学第一医院普外一科

出　　处：《西部中医药》2013年第7期83-85,共3页Western Journal of Traditional Chinese Medicine

摘　　要：目的:观察消脓汤治疗腹部术后残余感染的临床疗效。方法:将90例患者随机分为消脓汤组、抗生素组、联合用药组各30例,抗生素组常规给予氨苄青霉素、甲硝唑及喹诺酮类抗生素联合用药。消脓汤组给予消脓汤,水煎分服,1剂/d。联合用药组将上述2组治疗药物联合使用。3组均以不间断治疗7天为1个疗程,治疗1个疗程后观察疗效。结果:总有效率消脓汤组为83.34%,抗生素组为86.67%,联合用药组为96.67%。其中消脓汤组与抗生素组相比差异无统计学意义(P>0.05)。消脓汤组、抗生素组与联合用药组相比,差异均有统计学意义(P<0.05)。腹部症状、体温、血常规恢复正常时间消脓汤组与抗生素组相比差异无统计学意义(P>0.05)。消脓汤组、抗生素组与联合用药组相比,差异均有统计学意义(P<0.05)。结论:在使用抗生素的基础上给予消脓汤治疗腹部手术后腹腔残余感染临床疗效显著,可迅速改善患者病情。Objective： To observe clinical effects of XiaoNongTang for residual infection after abdominal infection. Method： All 90 patients were randomized into XiaoNongTang group, antibiotics group and drug combination group. Antibiotics group received ampicillin, metronidazole and quinolones, XiaoNongTang group took the decoction, water deeocted and one dose per day, drug combination group were given the treatment of both groups above. Seven days were one course of treatment, to observe clinical effects after one course of treatment. Result： Total effective rates of XiaoNongTang group, antibiotics group and drug combination group were respectively 83.34%, 86.67% and 96.67%, the difference between XiaoNongTang group and antibiotics group had no statistical meaning （P〉0.05）, the differences between XiaoNongTang group and drug combination group, between antibiotics group and drug combination group had statistical meanings （P〈0.05）. The difference between XiaoNongTang group and antibiotics group had no statistical meaning in abdominal symptom, body temperature and recovery time of routine blood test（P〉0.05）, the differences between XiaoNongTang group and drug combination group, between antibiotics group and drug combination group had statistical meanings（P〈0.05）. Conclusion： XiaoNongTang is effective in treating residual infection after abdominal surgery on the foundation of antibiotics, and it could rapidly improve the conditions of the patients.

关 键 词：腹腔残余感染 腹部手术 消脓汤 抗生素 

分 类 号：R61[医药卫生—外科学]