腹腔镜手术配合大黄牡丹汤加味治疗化脓性阑尾炎的临床观察

Study of Laparoscopic surgery with Rhubarb Peony Decoction in suppurative appendicitis

目的:探讨腹腔镜手术配合大黄牡丹汤加味治疗化脓性阑尾炎的临床疗效。方法:将2008年7月至2012年7月入住我院的100例化脓性阑尾炎患者随机分为对照组与观察组,各50例。对照组行腹腔镜手术,观察组在此基础上给予大黄牡丹汤加味治疗,比较两组治疗疗效及不良反应。结果:观察组总有效率为96.0%(48/50),明显高于对照组的76.0%(38/50),差异有统计学意义(P<0.01);且观察组肠鸣音恢复时间、通气时间、排便时间、切口感染比率、术后住院时间及不良反应发生率明显小于对照组,差异有统计学意义(P<0.05)。结论:腹腔镜手术配合大黄牡丹汤加减治疗化脓性阑尾炎,疗效显著,值得临床中应用。

Objective： To investigate the clinical efficacy of laparoscopic surgery with Rhubarb Peony Decoction in suppurative appendicitis. Methods： 100 patients with suppurative appendicitis from July 2008 to July 2012 in our hospital were randomly divided into control group and observation group, 50 cases in each group. Patients in the control group were carried out laparoscopic surgery, patients in the observation group were given Rhubarb Peony Decoction on the basis of laparoscopic surgery. Treatment efficacy and ad- verse reactions were compared. Results ： The total effective rate was 96.0% （48/50） in the observation group, significantly higher than 76.0% （38/50） in the control group, there was significant （P 〈0. 01 ） . Recovery time of bowel sounds, ventilation time, defecation time, wound infection rate, postoperative hospital stay and the incidence of adverse reactions in the observation group were significantly less than those in the control group, there were significant （P 〈0. 05） . Conclusion： The treatment of Laparoscopic sur- gery with Rhubarb Peony Decoction in suppurative appendicitis, has a significant effect, and is worthy of clinical application.