小柴胡汤在妇科术后应用的临床疗效观察

Clinical effect observation of Xiaochaihu Decoction after gynecological operation

目的探讨小柴胡汤在妇科术后应用的临床疗效。方法选取2019年8月至2021年1月在新余市妇幼保健院的进行妇科手术的60例患者作为研究对象,按照随机数字表法分为观察组(30例)和对照组(30例)。对照组妇科手术后常规治疗,观察组在对照组的基础上,术后6 h给予小柴胡汤口服。比较两组的治疗效果、术后72 h体温、排气时间、伤口愈合时间、症状积分、超敏C反应蛋白(hs-CRP)水平及不良反应发生情况。结果观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。观察组术后72 h体温低于对照组,排气时间、伤口愈合时间短于对照组,差异有统计学意义(P<0.05)。两组干预前症状积分比较,差异无统计学意义(P>0.05);干预后两组症状积分低于干预前,且观察组的症状积分低于对照组,差异有统计学意义(P<0.05)。两组干预前hs-CRP水平比较,差异无统计学意义(P>0.05);干预后两组的hs-CRP水平低于干预前,且观察组的hs-CRP水平低于对照组,差异有统计学意义(P<0.05)。两组的不良反应总发生率比较,差异无统计学意义(P>0.05)。结论小柴胡汤在妇科术后应用效果较好,可以改善患者的临床症状,稳定患者术后72 h内的体温,缩短排气时间,加快伤口愈合,改善hs-CRP水平,安全性较高。

Objective To explore the clinical effect of Xiaochaihu Decoction after gynecological surgery.Methods A total of 60 patients undergoing gynecological surgery in Xinyu Maternal and Child Health Hospital from August 2019 to January 2021 were selected as the research objects,and were divided into observation group(30 cases)and control group(30 cases)according to random number table method.The control group received routine treatment after gynecological operation,and the observation group was given oral Xiaochaihu Decoction 6 h after operation on the basis of the control group.The treatment effect,body temperature 72 h after operation,aerofluxus time,wound healing time,symptom score,hypersensitine C-reactive protein(hs-CRP)level and the incidence of adverse reactions were compared between the two groups.Results The total effective rate of observation group was higher than control group,the difference was statistically significant(P<0.05).The body temperature of the observation group was lower than that of the control group 72 h after surgery,and the exhaust time and wound healing time were shorter than those of the control group,with statistical significance(P<0.05).There was no significant difference in syndrome score between the two groups before intervention(P>0.05).After intervention,the syndrome scores of the two groups were lower than those before intervention,and the syndrome score of the observation group was lower than that of the control group,with statistical significance(P<0.05).There was no significant difference in hs-CRP levels between the two groups before intervention(P>0.05).The hs-CRP level of the two groups after intervention were lower than before,and the hs-CRP level of the observation group was lower than the control group,the differences were statistically significant(P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion The effect of xiaochaihu decoction after gynecological surgery is good,which can improve the clinical symptoms of patients,stabilize the body temperature within 72 h after surgery,shorten the exhaust time,speed up the wound healing,improve the level of hs-CRP,high safety.