中西医结合治疗急性阑尾炎术后腹泻59例疗效观察

Effects of the combination therapy of the West and Taditional Chineses Medicine for 59 acute appendicitis patients with postoperative diarrhea

目的 观察中西医结合治疗急性阑尾炎术后腹泻的临床疗效.方法 109例急性阑尾炎术后腹泻患者采用简单随机化法随机分为治疗组59例和对照组50例.对照组采用常规治疗和西药治疗;治疗组在对照组治疗基础上采用中医药治疗.观察两组粪便标本的病原菌检测结果、疗效评价结果和药物不良反应发生情况.结果 两组患者的粪便标本共检出病原菌96株,构成比在前4位的分别是弧菌属、志贺菌属、气单胞菌属和变形杆菌属,构成比分别是36.5％、22.9％、18.8％和11.5％.治疗组显效率、总有效率分别为83.1％、96.6％,均显著高于对照组的58.0％、84.0％（Х^2=8.426、4.598,均P＜0.05）.治疗组药物不良反应发生率为5.1％,对照组为6.0％,两组药物不良反应发生率差异无统计学意义（Х^2=1.028,P＞0.05）.结论 中西医结合疗法治疗急性阑尾炎术后腹泻的疗效显著,且药物不良反应发生率较低.

Objective To find out the efficacy of the combination therapy of the West and Taditional Chineses Medicine for acute appendicitis patients with postoperative diarrhea.Methods According to the digital table,109 acute appendicitis patients with postoperative diarrhea were randomly divided into 59 cases of the treatment group and 50 cases of the control group.The control group were given with the conventional therapy and Western medicine therapy,and the treatment group were given with the Traditional Chinese Medicine based on the control group.Test results of stool specimens pathogen,the efficacy and the occurrence of adverse drug reactions were observed.Results 96 pathogens were detected in stool specimens of the two groups of patients,the four pathogens with thelargest constituent ratios were Vibrio,Shigella,Aeromonas and Proteus,and the constituent ratio were respectively 36.5 %,22.9%,18.8% and 11.5%.The remarkable effective rate and total efficiency of the treatment group was 83.1%,96.6%,respectively,which were significantly higher than 58.0%,84.0% of the control group（Х^2 =8.426,4.598,all P 〈 0.05）.The incidence of adverse drug reactions of treatment group and the control group were 5.1%,6.0%,respectively,there was no significant difference between the two groups （Х^2 =1.028,P 〉 0.05）.Conclusion The efficacy of the combination therapy of the West and Waditional Chineses Medicine for acute appendicitis patients with postoperative diarrhea was significant effect,and the incidence of adverse drug reactions was less.