中西医结合治疗老年腹腔脓肿临床研究

Clinical Study on the Treatment of Elderly Abdominal Abscess with Combination of Chinese and Western Medicine

目的:观察腔内负压法联合自拟方排脓散治疗老年患者腹腔脓肿的临床疗效。方法:将62例患者按随机数字表法分为治疗组和对照组,每组31例,治疗组采用腔内负压法联合自拟方排脓散治疗,方药组成:当归9~15 g,白芍9~12 g,茯苓12~24 g,川芎12~24 g,白术12~15 g,泽泻12~24 g,地黄12~20 g,金银花30~60 g,败酱草9~15 g。若腹胀甚加香附6 g;若伴呕吐加半夏9 g;若伴腹痛加延胡索6 g;若伴腹泻加茯苓10 g;腹部跳痛加白芷12 g,皂角刺12 g;身目发黄加金钱草30 g,车前子20 g;伴发热加柴胡20 g;伴梗阻加大承气汤。)治疗。并配合抗生素(头孢曲松钠2.0 g,12 h 1次;过敏者更换为左氧氟沙星注射液4.0 g,每天1次)。对照组采用腔内负压法加抗生素治疗。结果:两组患者临床疗效比较,治疗组有效率为100%,对照组有效率为72%,两组比较,差异有统计学意义(P<0.05);两组患者腹痛多在7 d内有效控制,治疗组有效率为96.7%,对照组有效率为70.9%,两组比较,差异有统计学意义(P<0.05);两组患者脓肿直径缩小情况比较,差异有统计学意义。结论:中西医结合治疗老年患者腹腔脓肿临床疗效显著。

Objective：To explore the clinical efficacy of traditional Chinese and Western medicine in the treatment of elderly pa- tients with abdominal abscess. Methods ：62 patients were randomly divided into the treatment group and the control group, each of 31 cases. The treatment group was treated with negative pressure combined with self-made Painong powder, composition ： Danggui （ Angelica Sinensis） 9 - 15 g, Baishao （ Radix Paeoniae Alba） 9 - 12 g, Fuling （ Poria Cocos） 12 - 24 g, Chuanxiong （ Ligustieum Wallichii ） 12 - 24 g, B aizhu （ Rhizoma Atractylodis Macrocephalae ） 12 - 15 g, Zexie （ Rhizoma Alismatis ） 12 - 24 g, Dihuang （ Re- hmannia） 12 - 20 g, Jinyinhua （ Honeysuckle ） 30 - 60 g, Baijiangcao （Patrinia） 9 - 15 g. Abdominal distension attached 6 g Xiangfu（ Cyperus Rotundus） ;vomiting with Banxia（ Pinellia Ternata） 9 g;abdominal pain with Yanhusuo（ Corydalis Tuber） 6 g; if accompanied by diarrhea plus Fuling（Poria Cocos） 10 g;abdominal throbbing pain with Baizhi（Radix Angelicae） 12 g,Zaojiao- ci（ Spina Gleditsiae）12 g;yellowing of the body and eyes with Jinqiancao（ Lysimachia Christinae Hance） 30 g, Cheqianzi（ Semen Plantaginis） 20 g; fever plus Chaihu （Radix Bupleuri） 20 g;with obstruction to increase the Dachengqi soup treatment. Results：the clinical efficacy of the treatment group was 100% , the control group was 72% , and the difference was statistically significant （P 〈 0.05） ;mostly abdominal pain effectively controlled within 7 d, the efficacy of treatment group was 96.7%, the control group was 70.9%, the difference was statistically significant （P 〈 0.05） ;compared the reduced abscess diameter of the two groups showed that the difference was statistically significant. Conclusion：The curative effect of combined traditional Chinese and Western medi-cine treatment of elderly patients with abdominal abscess is significant.