清盆汤灌肠防治穿孔型阑尾炎术后感染及提高受孕率的临床观察

Observation on Curative Effect of Remiting Postoperative Infection of Perforating Appendicitis and Raising Pregnancy Rate Clystered by Qingpen Decoction

目的 :观察清盆汤Ⅰ、Ⅱ号液保留灌肠缓解穿孔型阑尾炎术后感染及提高受孕率的效果。方法 :对 10 3例穿孔型阑尾炎的婚龄前女性患者 ,术后当日行保留灌肠治疗 ,与对照组同时观察比较体温和WBC恢复正常时间、肠鸣恢复和首次肛门排气时间、腹胀明显缓解和压痛根本性减轻时间、切口感染和盆腔脓肿形成数 ,并进行婚后不孕率随访。结果 :观察组上述各项指标改善均优于对照组 ,切口感染率和盆腔脓肿发生率低于对照组 ,婚后受孕率明显高于对照组 (P <0 0 5 )。结论 :清盆汤Ⅰ、Ⅱ号液保留灌肠 ,具有促进炎症消退、防止或减少盆腔脓肿和盆腔粘连的作用 ,对女性术后受孕有益。

To observe effect of Qingpen decoction Ⅰ and Ⅱ retention enema remiting postoperative infection of perforating appendicitis and raising pregnancy rate.Methods:206 cases of female perforating AA before marriageable age were divided at random control group and observational group while observing the recovering time of temperature,WBC,borborygmus,anal exsufflation and reducing time of abdominal distension and tenderness and incision infection,formative number of pelvic abscess and following up survey of postconnubial sterility rate.Results:The indexes of observational group were lower than that of control group,incision infection rate and pelvic abscess incidence of observational group were lower than that of control group,postconnubial pregnancy rate of observational group was higher than that of control group ( P <0 05).Conclusion:Retention enema with Qingpen decoction Ⅰ and Ⅱ had effect of promoting inflammatory extinction,preventing or reducing formation of pelvic abscess and pelvic adhesion.It was beneficial to female post operative pregnancy.