沙参麦冬汤合清骨散加减治疗老年患者膝关节置换术后阴虚发热  

Treating knee replacement senile postoperative following fever with Sashen Maidong decoction plus Qingu San

作　　者：郑一非 

机构地区：[1]辽宁中医药大学,辽宁沈阳110032

出　　处：《中医临床研究》2015年第10期36-38,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的：研究沙参麦冬汤合清骨散加减治疗老年患者膝关节置换术后阴虚发热的疗效。方法：选择回顾性研究方法,选择2014年3-5月到沈阳市骨科医院进行膝关节置换术的患者48例,其中男26例,女22例,年龄60-76岁,平均年龄（67.5±1.4）岁。按1：1的方式随机分为治疗组和对照组,每组24人。治疗组术后24h后开始服用沙参麦冬汤和清骨散煎剂加减联合,对照组给予冷敷等物理降温法及消炎药。结果：治疗组与对照组术后第3d体温变化对比无明显差异,P〉0.05;治疗组与对照组术后第5、7d体温变化对比有明显差异,P〈0.05,具有统计学意义。结论：沙参麦冬汤合清骨散加减治疗老年患者膝关节置换术后阴虚发热疗效肯定,值得推广。Objective： To analyze the efficacy of Sashen Maidong decoction plus Qingu San on knee replacement senile postoperative following fever. Methods： 48 cases of knee joint replacement were selected from department of orthopedics in the Shenyang hospital from March 2014 to May 2014; the male 26 cases, the female 22 cases, age was 60-76 years old, average age was （67.5±1.4） years old; patients were randomly divided into the treatment group and the control group, 24 eases for each. The treatment group was given the Shasheng Maidong decoction plus Qinggu San decoction after 24 hours following surgical operation; the control group was given physical cooling plus anti-inflammatory drugs. Results： On the third day after surgical operation, the change of both groups in the temperatures hasn＇t a significantly different, P〉0.05; on the fifth day and the seventh day after surgical operation, the change of both groups in the temperatures has a obvious different, P〈0.05. The difference was statistically significant. Conclusion： The efficacy of Sashen Maidong decoction plus Qingu San on knee replacement senile postoperative following fever was confirmed and worthy of promotion.

关 键 词：沙参麦冬汤 清骨散 老年患者 膝关节置换术 阴虚发热 

分 类 号：R441.3[医药卫生—诊断学]