中药辨证治疗骨科术后非感染性发热临床观察
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摘要
目的:观察中药辨证治疗骨科术后非感染性发热的疗效和安全性。方法:前瞻性观察,并回顾性分析2013年1月—2017年12月骨科手术后的非感染性发热病例共95例,均采用口服中药治疗3d。结果:有90例患者体温降至正常,治疗有效率为94.7%。有2例患者复查见谷丙转氨酶升高。结论:中药辨证治疗骨科术后非感染性发热疗效确切,且安全性较高,值得临床推广。
Objective: To observe the efficacy and safety of traditional Chinese medicine syndrome differentiation in the treatment of non-infectious fever after orthopedic surgery.Methods: Prospective observation and retrospective analysis of 95 cases of non-infectious fever after orthopedic surgery from January 2013 to December 2017 were treated with oral Chinese medicine for 3 days.Results: In 90 patients,the body temperature dropped to normal,and the effective rate was 94.7%.Two patients were reviewed for elevated alanine aminotransferase.Conclusion: Chinese medicine syndrome differentiation treatment of non-infectious fever after orthopedics is effective and safe,and it is worthy of clinical promotion.
Objective: To observe the efficacy and safety of traditional Chinese medicine syndrome differentiation in the treatment of non-infectious fever after orthopedic surgery.Methods: Prospective observation and retrospective analysis of 95 cases of non-infectious fever after orthopedic surgery from January 2013 to December 2017 were treated with oral Chinese medicine for 3 days.Results: In 90 patients,the body temperature dropped to normal,and the effective rate was 94.7%.Two patients were reviewed for elevated alanine aminotransferase.Conclusion: Chinese medicine syndrome differentiation treatment of non-infectious fever after orthopedics is effective and safe,and it is worthy of clinical promotion.
引文
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[12]Puca E,Pilaca A,Puca E Y,et al.Evaluation of procalcitonin in adult patients with Fever[J].International Journal of Science and Research,2015,3(12):2421-2424.
[13]陈兆平,丁玉喜,沈靖,等.4种血清感染指标在关节置换术患者早期发热中的监测评价[J].中华医院感染学杂志,2016,26(13):2893-2895.
[14]Qu J,L X,Liu Y,et al.Evaluation of procalcitonin,C-reactive protein,interleukin-6&serum amyloid A as diagnostic biomarkers of bacterial infection in febrile patients[J].Indian Journal of Medical Research,2015,141(3):315-321.
[15]张诗海,周章武.中医辨证治疗骨科术后非感染性发热的临床进展[J].中医药临床杂志,2015,27(9):1328-1330.
[2]公方云.品管圈对骨科手术后发热患者的应用价值研究[J].中国继续医学教育,2018,10(16):146-147.
[3]万学红,卢雪峰.诊断学[M].8版.北京:人民卫生出版社,2013:88-89.
[4]周仲英.中医内科学[M].北京:中国中医药出版社,2003:441-448.
[5]陈光,王阶.发热证治[J].中华中医药杂志,2015,30(8):2702-2705.
[6]林禹舜,吴增安,杨国华,等.清热重剂治疗骨科术后发热30例的临床疗效观察[J].中华中医药杂志,2013,28(6):1910-1913.
[7]Boaz M,Bermant A,Ezri T,et al.Effect of Surgical Safety checklist implementation on the occurrence of postoperative complications in orthopedic patients[J].Israel Medical Association Journal Imaj,2014,16(1):20-25.
[8]Ukay I,Agostinho A,Stern R,et al.Occurrence of fever in the first postoperative week does not help to diagnose infection in clean orthopaedic surgery[J].International Orthopaedics,2011,35(8):1257-1260.
[9]Sivakumar B,Vijaysegaran P,Ottley M,et al.Blood cultures for evaluation of early postoperative fever after femoral neck fracture surgery[J].Journal of Orthopaedic Surgery,2012,20(3):336-340.
[10]Ishii Y,Noguchi H,Takeda M,et al.Evaluation of Fever and Its Related Factors during 4 Weeks after Primary Total Hip Arthroplasty[J].Surgical Science,2013,4(1):1-6.
[11]Ishii Y,Noguchi H,Takeda M,et al.Characteristics and significance of fever during 4 weeks after primary total knee arthroplasty[J].Archives of Orthopaedic&Trauma Surgery,2014,134(5):707-712.
[12]Puca E,Pilaca A,Puca E Y,et al.Evaluation of procalcitonin in adult patients with Fever[J].International Journal of Science and Research,2015,3(12):2421-2424.
[13]陈兆平,丁玉喜,沈靖,等.4种血清感染指标在关节置换术患者早期发热中的监测评价[J].中华医院感染学杂志,2016,26(13):2893-2895.
[14]Qu J,L X,Liu Y,et al.Evaluation of procalcitonin,C-reactive protein,interleukin-6&serum amyloid A as diagnostic biomarkers of bacterial infection in febrile patients[J].Indian Journal of Medical Research,2015,141(3):315-321.
[15]张诗海,周章武.中医辨证治疗骨科术后非感染性发热的临床进展[J].中医药临床杂志,2015,27(9):1328-1330.