清肠消痈汤辅助腹腔镜阑尾切除术治疗急性阑尾炎临床研究
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R656.8

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Clinical Study on Qingchang Xiaoyong Tang in Assisting Laparoscopic Appendectomy to Treat Acute Appendicitis
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    摘要:

    目的:观察清肠消痈汤辅助腹腔镜阑尾切除术治疗急性阑尾炎的临床疗效。方法:选取急性阑尾炎患者110 例,按随机数字表法分为对照组和观察组各55 例。2 组均予全麻下行腹腔镜阑尾切除术治疗。对照组术后予以补液、抗感染及维持电解质平衡等常规治疗,观察组在对照组基础上加用清肠消痈汤治疗。比较2 组肠功能恢复情况、血清炎症因子[超敏C-反应蛋白(hs-CRP)、肿瘤坏死因子-α(TNF-α) 和白细胞介素-6(IL-6)] 水平的变化,并统计并发症的发生率。结果:观察组肠鸣音恢复时间、肛门排气时间与排便时间均短于对照组(P<0.05)。治疗前,2 组血清hs-CRP、TNF-α 及IL-6 水平比较,差异无统计学意义(P>0.05)。治疗后,2 组血清hs-CRP、TNF-α 及IL-6 水平较治疗前降低(P<0.05),且观察组血清hs-CRP、TNF-α 及IL-6 水平低于对照组(P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:清肠消痈汤辅助腹腔镜阑尾切除术治疗急性阑尾炎可促进肠功能恢复,减轻炎症反应,减少并发症的发生。

    Abstract:

    Abstract: Objective: To observe the clinical effect of the application of Qingchang Xiaoyong tang in assisting laparoscopic appendectomy to treat acute appendicitis. Methods: A total of 110 patients with acute appendicitis were selected and divided into the control group and the observation group according to random number table method,with 55 cases in each group. Both groups were treated with laparoscopic appendectomy under general anesthesia. The control group was treated with routine treatment such as fluid rehydration, anti- infection and maintenance of electrolyte balance, and the observation group was additionally treated with Qingchang Xiaoyong tang based on the treatment of the control group. The recovery of intestinal function and changes of serum inflammatory factors, including hypersensitive Creactive protein(hs- CRP), tumor necrosis factor- α(TNF- α) and interleukin- 6(IL- 6) were compared between the two groups,and the incidence of complications was analyzed. Results:The recovery time of bowel sounds,anal farting time and defecation time in the observation group were shorter than those in the control group(P<0.05). Before treatment, there was no significant difference in the levels of serum hs- CRP,TNF-α and IL-6 between the two groups(P>0.05). After treatment,the levels of serum hs-CRP, TNF- α and IL- 6 in both groups were decreased when compared with those before treatment(P<0.05), and the levels of serum hs-CRP,TNF-α and IL-6 in the observation group were lower than those in the control group(P<0.05). The incidence of complications in the observation group was lower than that in the control group, the difference being significant(P<0.05). Conclusion: The application of Qingchang Xiaoyong tang in assisting laparoscopic appendectomy to treat acute appendicitis can promote the recovery of intestinal function,reduce the inflammatory responses and reduce the incidence of complications.

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颜海波,谢英园,闻久辉,颜玲玲.清肠消痈汤辅助腹腔镜阑尾切除术治疗急性阑尾炎临床研究[J].新中医,2022,54(17):119-122

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  • 在线发布日期: 2022-09-06
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