透脓散治疗小儿穿孔性阑尾炎合并腹膜炎术后腹腔感染临床观察  

Clinical Observation on Tounong Powder in the Treatment of Abdominal Infection after Operation in Children with Perforated Appendicitis Complicated with Peritonitis

作　　者：金建宁[1] 张明 丁玉梅[1] 杨锦亮 JIN Jianning;ZHANG Ming;DING Yumei;YANG Jinliang(Department of Traditional Chinese Medicine,General Hospital of Ningxia Medical University,Ningxia,Yinchuan 750004,China;Department of General Surgery,Pingluo People’s Hospital,Ningxia,Pingluo 753400,China)

机构地区：[1]宁夏医科大学总医院中医科,宁夏银川750004 [2]宁夏平罗县人民医院普外科,宁夏平罗753400

出　　处：《中国中医药现代远程教育》2023年第8期77-79,共3页Chinese Medicine Modern Distance Education of China

基　　金：宁夏科技厅自然科学基金项目【No.2019AAC03234】;宁夏卫生厅财政专项资金“中医药事业传承与发展”——马玉宝传承工作室。

摘　　要：目的评价透脓散加减方治疗小儿穿孔性阑尾炎合并腹膜炎术后腹腔感染的效果。方法随机将87例穿孔性阑尾炎伴腹膜炎术后腹腔感染患儿分为治疗组56例、对照组31例,所有患儿中医辨证均为脾虚热腐成脓证,对照组予抗感染治疗,治疗组在抗感染治疗基础上口服透脓散加减方,2组疗程均为1周。通过观察2组疗效、脓肿吸收情况,评价透脓散加减方对小儿穿孔性阑尾炎合并腹膜炎术后腹腔感染的治疗效果。结果疗效方面,治疗组总有效率为91.1%(51/56),对照组总有效率为74.2%(23/31),治疗组优于对照组(P<0.05)。在脓肿吸收方面,治疗组治疗后脓肿完全吸收或者缩小的共51例,脓肿未吸收或者增大的5例;对照组治疗后脓肿完全吸收或者缩小的共23例,脓肿未吸收或者增大的8例。结论对于小儿穿孔性阑尾炎合并腹膜炎术后腹腔感染,透脓散加减方可提高总有效率,改善相关临床症状,促进腹腔脓肿的吸收或缩小。Objective To evaluate the effect of Tounong powder on abdominal infection after operation of perforated appendicitis complicated with peritonitis in children.Methods 87 children with abdominal infection after operation of perforated appendicitis with peritonitis were randomly divided into treatment group(56 cases)and control group(31 cases).All children had syndrome of spleen deficiency heat rotting into pus according to traditional Chinese medicine syndrome differentiation.The control group was treated with anti infection treatment,and the treatment group took Tounong powder on the basis of anti infection treatment.The course of treatment of both groups was 1 week.By observing the curative effect and abscess absorption of the two groups,the therapeutic effect of Tounong powder on abdominal infection after operation of perforated appendicitis complicated with peritonitis in children was evaluated.Results The total effective rate was 91.1%(51/56)in the treatment group and 74.2%(23/31)in the control group,which was better than that in the control group(P<0.05).In terms of abscess absorption,51 cases of abscess were completely absorbed or reduced after treatment,and 5 cases of abscess were not absorbed or increased.In the control group,23 cases of abscess were completely absorbed or reduced after treatment,and 8 cases of abscess were not absorbed or enlarged.Conclusion For abdominal infection after operation of children with perforated appendicitis complicated with peritonitis,Tounong powder can improve the total effective rate,improve relevant clinical symptoms,and promote the absorption or reduction of abdominal abscess.

关 键 词：透脓散 肠痈 小儿穿孔性阑尾炎 腹膜炎 术后腹腔感染 脾虚热腐成脓证 中医药疗法 

分 类 号：R726.5[医药卫生—儿科]