小儿阑尾脓肿两种非手术治疗方案的疗效比较

Two different nonoperation therapy in the treatment of appendiceal abscess in children

目的观察红藤汤结合西医对比单纯西医治疗小儿阑尾脓肿的临床疗效差别。方法将40例患者随机分为治疗组(20例)和对照组(20例),对照组采用西医抗生素治疗,治疗组在西医基础上,结合红藤汤治疗。对两组患者治疗后平均住院时间、体温消退时间以及白细胞计数等结果进行比较。结果治疗组和对照组的平均住院时间分别为(11.75±1.62)d和(13.15±2.37)d,差异有统计学意义(t=2.36,P<0.05);体温消退时间分别为(3.55±1.05)d和(4.30±1.26)d,差异有统计学意义(t=2.24,P<0.05)。治疗组和对照组第5天白细胞计数分别为(11.48±2.33)×109/L和(13.48±3.46)×109/L,差异有统计学意义(t=2.81,P<0.05),第10天分别为(7.41±1.63)×109/L和(8.08±2.72)×109/L,差异无统计学意义(t=1.39,P>0.05)。结论红藤汤结合西医治疗小儿阑尾脓肿比单纯西医治疗具有更显著的临床疗效。

Objective To investigate the clinical effect of combine Sargentgloryvine Stem Antidotal Decoction with west-ern medicine and western medicine only for the appendiceal abscess in children. Methods A total of 40 pediatric patients were randomly divided into experiment group and control group. The control group was administered with antibiotics alone. The experiment group was administered with antibiotics combination of Sargentgloryvine Stem Antidotal Decoction. The du-ration of hospitalization, temperature subsided time, white blood cells were compared between this two groups. Results The durations of hospitalization in the experiment group and the control group were 11.75±1.62 and 13.15±2.37 （t=2.36, P〈0.05）, and temperature subsided times were 3.55±1.05 and 4.30±1.26 （t=2.24,P〈0.05）. WBC at the 5th day in the experiment group and the control group were（11.48±2.33）×109/L and （13.48±3.46）×109/L（t=2.81,P〈0.05）; at the 10th day were（7.41±1.63）×109/L and （8.08±2.72）×109/L（t=1.39,P〉0.05）. Conclusion Combine Sargentgloryvine Stem Anti-dotal Decoction with western medicine treatment on appendiceal abscess in children could obviously improve the therapeu-tic effect.