摘要
目的:观察不同途径给予中药保守治疗急性单纯性阑尾炎的临床疗效。方法:92例急性单纯性阑尾炎患者随机分为观察组和对照组各46例。两组均给予禁食、营养支持、对症处理、抗生素抗感染等处理。观察组在此基础上采用自拟中药内服、中药灌肠及中药外敷阑尾区,两组疗程均为7 d。观察治疗后1～3 d发热、腹痛、压痛、恶心呕吐等症状、体征变化情况及发热、腹痛、压痛恢复正常时间。结果:观察组总有效率为93.47%优于对照组的78.26%(P<0.05);治疗后2,3 d观察组发热、腹痛、压痛、恶心呕吐等症状、体征的好转明显优于对照组(P<0.05);观察组体温恢复正常时间,腹痛及压痛减轻时间均明显短于对照组(P<0.01)。结论:不同途径给予中药保守治疗急性单纯性阑尾炎,能迅速控制患者发热、疼痛、压痛和恶心呕吐等临床症状,能提高临床疗效。
Objective： To observe the conservative treatment of acute uncomplicated appendicitis by traditional Chinese medicine with different routes. Method： Ninety-two cases of acute uncomplicated appendicitis patients were randomly divided into observation group and the control group （n=46 each）. Both groups were given fasting, nutritional support; symptomatic treatment, anti-infection by antibiotics. On this basis, the observation group was received decoctions of Chinese herbs, Chinese medicinal enema and external application of Chinese medicine at appendix area. The treatment lasted for 7 d. After the treatment 1-3 d, the fever, the abdominal pain, the tenderness, the nausea, the vomiting and the other symptoms, the physical signs and the abdominal pain, the tenderness to restore the normal time were observed. Result： The total effective rate of 93.47% in the observation group was better than 78.26% in the control group （P〈0.05）. After the treatment of 2 and 3 days, the fever, the abdominal pain, the tenderness, the nausea, the vomiting and the other symptoms and signs in the observation group were improved significantly better than those in the control group （P〈0.05）. The time required for body temperature to return normal, abdominal pain and tenderness to relieve in the observation group was significantly less than those in the control group （P〈0.01）. Conclusion： Chinese conservative treatment with different routes for acute uncomplicated appendicitis could quickly control the clinical symptoms of fever, pain, tenderness, nausea and vomiting, could improve the clinical efficacy.
出处
《中国实验方剂学杂志》
CAS
北大核心
2013年第11期299-301,共3页
Chinese Journal of Experimental Traditional Medical Formulae
关键词
急性单纯性阑尾炎
不同途径给药
保守治疗
acute uncomplicated appendicitis
different routes of administration
conservative treatment
