中药芒硝、大黄外敷在妇科腹腔镜术后腹部瘀斑中的应用  

Application effect of Chinese medicine Mirabilite and Rhubarb for external use in abdominal ecchymosis after gynecologic laparoscopic surgery

作　　者：张萍[1] 

机构地区：[1]宝鸡市妇幼保健院妇1科,陕西宝鸡721000

出　　处：《临床医学研究与实践》2018年第7期112-113,共2页Clinical Research and Practice

摘　　要：目的探讨中药芒硝、大黄外敷在妇科腹腔镜术后腹部瘀斑中的应用效果。方法选取在我院行妇科腹腔镜手术后发生腹部瘀斑的患者70例,随机将其分为观察组和对照组,各35例。对照组行常规治疗,观察组在常规治疗的基础上应用芒硝、大黄外敷。对比两组用药后的疼痛情况、瘀斑变浅时间和瘀斑持续时间及患者对治疗的满意度。结果随着用药时间的推移,两组的VAS评分均降低(P<0.05);用药1、3 d后,观察组的VAS评分均低于对照组(P<0.05);观察组的瘀斑变浅时间和瘀斑持续时间均短于对照组(P<0.05);观察组患者治疗的满意度高于对照组(P<0.05)。结论应用中药芒硝、大黄外敷治疗妇科腹腔镜术后腹部瘀斑可有效地缓解疼痛,加快瘀斑的吸收,并可提高患者对治疗的满意度,值得临床推广。Objective To explore the clinical effects of Chinese medicine Mirabilite and Rhubarb for external use in abdominal ecchymosis after gynecologic laparoscopic surgery. Methods A total of 70 patients with abdominal ecchymosis after gynecological laparoscopic surgery in our hospital were selected and randomly divided into observation group(35 cases) and control group(35 cases). The control group received conventional treatment, while the observation group was treated with Mirabilite and Rhubarb for external use on the basis of routine treatment. The pain condition, the superficial time of ecchymosis and the duration of ecchymosis and the satisfaction of the two groups were compared. Results With the passage of time,the VAS scores of the two groups decreased(P<0.05); after 1, 3 days of medication, the VAS scores of the observation group were lower than those of the control group(P<0.05). The superficial time of ecchymosis and the duration of ecchymosis in the observation group were shorter than those in the control group(P<0.05). The satisfaction rate with treatment of the observation group was higher than that of the control group(P <0.05). Conclusion The application of Chinese medicine Mirabilite and Rhubarb for external use in abdominal ecchymosis after gynecological laparoscopic can effectively relieve pain, accelerate the absorption of ecchymosis, and improve patients' satisfaction with treatment, which is worthy of clinical promotion.

关 键 词：腹部瘀斑 芒硝 大黄 腹腔镜 

分 类 号：R737.9[医药卫生—肿瘤]