当归补血汤加味治疗产褥期内持续性发热的临床效果  

Clinical effect of modified Danggui Buxue decoction on puerperal persistent fever

作　　者：张晓瑜 ZHANG Xiaoyu(Xinxiang Maternal and Child Health Care Hospital,Xinxiang 453000,China)

机构地区：[1]新乡市妇幼保健院,河南新乡453000

出　　处：《临床医学研究与实践》2021年第33期147-149,共3页Clinical Research and Practice

摘　　要：目的观察当归补血汤加味治疗产褥期内持续性发热的临床效果。方法选取2015年1月至2020年6月入住我院的100例产褥期内持续性发热患者为研究对象,将其随机分为对照组和试验组,各50例。对照组采用头孢哌酮/舒巴坦+奥硝唑治疗,试验组在对照组基础上采用当归补血汤加味治疗。比较两组患者治疗前和治疗7 d后的实验室指标、体温;比较两组患者的临床症状消退时间、退热时间及临床疗效。结果治疗前,两组患者的白细胞计数、中性粒细胞百分比、CRP水平、ESR及体温比较,差异无统计学意义(P>0.05);治疗7 d后,两组患者的白细胞计数、中性粒细胞百分比、CRP水平、ESR及体温均较治疗前降低,且试验组低于对照组,差异具有统计学意义(P<0.05)。试验组的临床症状消退时间及退热时间均短于对照组,差异具有统计学意义(P<0.05)。试验组的治疗总有效率为98.00%,高于对照组的86.00%,差异具有统计学意义(P<0.05)。结论对于产褥期持续性发热患者,在常规西医治疗基础上给予当归补血汤加味治疗,可有效改善患者的实验室指标,缩短退热时间,快速缓解临床症状,疗效显著。Objective To observe the clinical effect of modified Danggui Buxue decoction on puerperal persistent fever.Methods A total of 100 patients with puerperal persistent fever admitted in our hospital from January 2015 to June 2020 were selected as the research objects and randomly divided into control group and experimental group,with50 cases in each group.The control group was treated with cefoperazone/sulbactam+ornidazole,and the experimental group was treated with modified Danggui Buxue decoction on the basis of the control group.The laboratory indexes and body temperature of the two groups were compared before treatment and 7 d after treatment;the clinical symptom regression time,antipyretic time and clinical efficacy were compared between the two groups.Results Before treatment,there were no significant differences in leukocyte count,neutrophil percentage,CRP level,ESR and body temperature between the two groups(P>0.05);on 7 d after treatment,the leukocyte count,neutrophil percentage,CRP level,and body temperature ESR of the two groups were lower than those before treatment,and those of the experimental group were lower than the control group,the differences were statistically significant(P<0.05).The clinical symptom regression time and antipyretic time in the experimental group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The total effective rate of treatment in the experimental group was 98.00%,which was higher than 86.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion For patients with puerperal persistent fever,the modified Danggui Buxue decoction on the basis of conventional western medicine treatment can effectively improve the laboratory indexes,shorten the antipyretic time,and quickly alleviate clinical symptoms,with remarkable curative effect.

关 键 词：产褥期内持续性发热 当归补血汤加味 实验室指标 退热时间 临床症状消退时间 

分 类 号：R271.9[医药卫生—中西医结合]