参苓白术散在妇产科腹部手术后康复治疗中的影响

Effect of Shenlingbaizhu powder on rehabilitation therapy of patients after obstetric and gynecological abdominal surgery

目的:研究参苓白术散在促进妇产科腹部手术后康复治疗中的临床作用。方法:对100例妇产科腹部手术病例按随机配对分为观察组和对照组,各50例,两组均行围手术期抗感染补液治疗。研究组在术后第二天开始口服参苓白术散汤剂,对照组为空白组,术后不加用中药。观察术前、术后24 h及术后第5天C反应蛋白、IgA、IgG、IgM,中医脾虚夹湿症候评分。结果:参苓白术散汤剂可减轻术后脾虚夹湿证评分,提高术后外周血IgM含量,降低术后C反应蛋白含量,对提高术后血补体3、补体4、IgA、IgG含量无显著变化。结论:参苓白术散改善术后脾虚夹湿证症候,提高妇产科腹部手术术后病人的免疫力,减轻手术创伤带来的应激及免疫抑制反应。

Objective： To observe the clinical application of Sbenlingbaizhu powder in the rehabilitation therapy of patients after obstetric and gynecological abdominal surgery. Methods： 100 patients undergoing obstetric and gynecological abdominal surgery were divided into observation group （50 cases） and control group （50 cases） randomly, all the cases received anti - infection and fluid replacement treatment. On the second day after surgery, the cases in observation group were administrated Shenlingbaizhu powder orally. The levels of C - reactive protein, IgA, IgG, IgM and symptomatic score of splenic asthenia were observed pre - operative and post - operative 24 hours and the fifth day after surgery. Results： Shenlingbaizhu powder improved the symptomatic score of splenic asthenia and the IgM level in peripheral blood, reduced the C - reactive protein level, but the levels of alexin3, alexin4, IgA and IgG changed indistinctively before and after the surgery. Conclusion： Shenlingbaizhu powder can improve the symptomatic score of splenic asthenia and immunity of patients, relieve the posttraumatic stress and immunosuppressive reaction.