中药内服外敷治疗阑尾周围脓肿的临床研究
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摘要
目的：观察中药内服外敷治疗阑尾周围脓肿患者临床疗效并简要探讨其作用机制。方法：对山东中医药大学附属医院普外科2000年6月至2009年6月期间接受治疗的48例阑尾周围脓肿患者进行回顾性分析,分成治疗组和对照组,其中治疗组应用中药内服外敷结合西医治疗,对照组应用单纯西医治疗。观察病人右下腹疼痛及压痛、反跳痛、体温、血象、包块、B超检查等情况；观察病人体温恢复正常的时间,右下腹疼痛消失时间,包块消散的时间。开始用药前及用药后5天后系统观察记录体温、血象1次,并比较第2、3、4周的疗效。结果：1.右下腹疼痛消失时间,体温恢复正常时间,包块消散时间,治疗组均较对照组短,经统计学处理,治疗组与对照组间均具有显著性差异(P<0.05),具有统计学意义。2.两组治疗组患者用药后第5天,体温恢复情况、白细胞数下降、中性粒细胞数下降均优于治疗组,经统计学处理具有显著性差异(P<0.05),具有统计学意义。3.治疗组第2、3、4周的临床疗效明显优于对照组。结论：1.中药内服外敷能促进阑尾周围脓肿患者右下腹疼痛消失时间,缩短体温恢复正常时间及包块消散时间。2.中药内服外敷能促进阑尾周围脓肿患者体温、白细胞数、中性粒细胞数降低和包块的消散。3.中药内服外敷能促进阑尾周围脓肿患者的临床症状、体征明显改善,疗效肯定,减少手术的创伤和并发症,无明显毒副作用。
Objective:Observe to externally apply after proven prescription External Application Chinese Herbs reats around the appendicitis the abscess patient clinical curative effect and discusses its function mechanism. Method:Shandong Traditional Chinese Medicine University Hospital Department of General Surgery from June 2000 to June 2009 among 48 cases treated in patients with appendiceal abscess were analyzed retrospectively, were divided into treatment group and control group, treatment group, which combines Western medicine Oral topical treatment, the control group just western medicine treatment. In treatment period, observes the patient abdominal pain and the partial tenderness, the bounce pain, the body temperature closely; the blood picture; situations and so on Bao Kuai, ultrasound inspection; Observes:The patient body temperature to restore the normal time, the abdominal pain vanishing time, the package block dissipation time. Before starting the medication, and applies drugs latter 5 days later the system to observe the record body temperature, the blood picture 1 time, and compares the 2nd,3,4 week-long curative effect.Result:1.The body temperature restores the normal time, the abdominal pain vanishing time, wraps the block dissipation time, the treatment group compares the control group to be short, after statistics processing, between the treatment group and the control. group has the significance difference (P<0.05).2. After 2 groups treat the group patients apply drugs, the 5th day, the body temperature, the white blood cell number, the neutral granular cell number surpass the treatment group, has the significance difference after statistics processing (P<0.05).3. The treatment group 2nd,3,4 week-long clinical curative effect surpasses the control group obviously. Conclusion:1. Internal and External Medicine promotes around the appendix abscess patient abdominal pain vanishing time, the body temperature to restore the normal time, the package block dissipation time.2. Internal and External Medicine promotes around the appendix abscess patient body temperature; the white blood cell number, the neutral granular cell number to reduce with the package of block dissipation.3. Internal and External Medicine promotes around the appendix the abscess patient's clinical symptoms; the symptom distinct improvement, non-toxic side effect.
Objective:Observe to externally apply after proven prescription External Application Chinese Herbs reats around the appendicitis the abscess patient clinical curative effect and discusses its function mechanism. Method:Shandong Traditional Chinese Medicine University Hospital Department of General Surgery from June 2000 to June 2009 among 48 cases treated in patients with appendiceal abscess were analyzed retrospectively, were divided into treatment group and control group, treatment group, which combines Western medicine Oral topical treatment, the control group just western medicine treatment. In treatment period, observes the patient abdominal pain and the partial tenderness, the bounce pain, the body temperature closely; the blood picture; situations and so on Bao Kuai, ultrasound inspection; Observes:The patient body temperature to restore the normal time, the abdominal pain vanishing time, the package block dissipation time. Before starting the medication, and applies drugs latter 5 days later the system to observe the record body temperature, the blood picture 1 time, and compares the 2nd,3,4 week-long curative effect.Result:1.The body temperature restores the normal time, the abdominal pain vanishing time, wraps the block dissipation time, the treatment group compares the control group to be short, after statistics processing, between the treatment group and the control. group has the significance difference (P<0.05).2. After 2 groups treat the group patients apply drugs, the 5th day, the body temperature, the white blood cell number, the neutral granular cell number surpass the treatment group, has the significance difference after statistics processing (P<0.05).3. The treatment group 2nd,3,4 week-long clinical curative effect surpasses the control group obviously. Conclusion:1. Internal and External Medicine promotes around the appendix abscess patient abdominal pain vanishing time, the body temperature to restore the normal time, the package block dissipation time.2. Internal and External Medicine promotes around the appendix abscess patient body temperature; the white blood cell number, the neutral granular cell number to reduce with the package of block dissipation.3. Internal and External Medicine promotes around the appendix the abscess patient's clinical symptoms; the symptom distinct improvement, non-toxic side effect.
引文
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[23]史凯凯,段徐华,杨静.败酱复方对混合菌液所致大鼠慢性盆腔炎的治疗作用[J].数理医药学杂志,2006,19(2)；169-171.
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[26]王钦茂,刘超,赵帜平,等.丹皮多糖降血糖有效成分的筛选及其作用研究[J].中国中医基础医学杂志,2001,7(5)；18-21.
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