厚朴排气合剂联合腹腔镜下阑尾切除术治疗急性阑尾炎患者的效果

Effect of Houpu Paiqi Heji Combined with Laparoscopic Appendectomy in the Treatment of Patients with Acute Appendicitis

目的:研究厚朴排气合剂联合腹腔镜下阑尾切除术治疗急性阑尾炎(AA)患者的效果。方法:选取2022年12月—2023年7月平和县医院收治的62例AA患者作为研究对象,按照随机抽签法将患者分为对照组与观察组,各31例。两组均接受腹腔镜下阑尾切除术,对照组术后给予常规治疗,观察组在对照组基础上给予厚朴排气合剂,统计对比两组治疗效果、胃肠功能恢复时间及炎症指标。结果:观察组治疗总有效率为96.77%,高于对照组的80.65%,差异有统计学意义(P<0.05);观察组肠鸣音恢复、肛门排气、首次排便、首次进食时间早于对照组,差异有统计学意义(P<0.05);观察组治疗7 d C反应蛋白(CRP)、白细胞介素-6(IL-6)水平低于对照组,差异有统计学意义(P<0.05)。结论:厚朴排气合剂联合腹腔镜下阑尾切除术治疗AA患者效果更显著,能缩胃肠功能恢复时间,减轻炎症反应。

Objective:To investigate the effect of Houpu Paiqi Heji combined with laparoscopic appendectomy in the treatment of patients with acute appendicitis(AA).Method:A total of 62 AA patients who admitted to Pinghe County Hospital from December 2022 to July 2023 were selected as the research objects,the patients were divided into the control group and the observation group according to the random lottery method,with 31 cases in each group.Two groups were given laparoscopic appendectomy,the control group was treated with conventional medicine after operation,the observation group was given Houpu Paiqi Heji on the basis of the control group.The therapeutic effect,gastrointestinal function recovery time and inflammation index of two groups were compared.Result:The total effective rate of treatment in the observation group was 96.77%,which was higher than 80.65%in the control group,and the difference was statistically significant(P<0.05);the times of bowel sound recovery,anal exhaust,first defecation and first eating in the observation group were earlier than those in the control group,and the differences were statistically significant(P<0.05);the levels of C-reactive protein(CRP)and interleukin-6(IL-6)in the observation group at 7 d of treatment were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Houpu Paiqi Heji combined with laparoscopic appendectomy in the treatment of AA patients is more effective,which can shorten the recovery time of gastrointestinal function and reduce the inflammatory response.