西黄胶囊联合生大黄对子宫颈癌根治术后盆腔淋巴囊肿的影响

Influence of Xihuang Capsules Combined with Raw Rhubarb on Pelvic Lymphocyst after Radical Resection of Cervical Cancer

目的:探究西黄胶囊联合生大黄对子宫颈癌根治术后盆腔淋巴囊肿(PL)的影响。方法:选取江西省妇幼保健院2021年9月—2023年9月收治的80例子宫颈癌根治术后湿热瘀结型PL患者,按照随机数字表法分为两组,每组40例,对照组患者给予生大黄治疗,观察组患者给予西黄胶囊联合生大黄治疗。比较术后第90天两组患者的临床疗效差异;比较两组患者治疗前、治疗30 d后、治疗90 d后的疼痛情况[视觉模拟评分法(VAS)]、中医证候积分、炎症因子[C反应蛋白(CRP)]水平差异。结果:治疗90 d后,观察组临床疗效显著高于对照组(P<0.05);治疗30、90 d后,观察组与对照组患者VAS评分、中医证候积分、CRP水平均较治疗前显著降低(P<0.05),观察组均低于对照组(P<0.05)。结论:在子宫颈癌根治术后PL患者中,使用西黄胶囊联合生大黄治疗效果确切,缓解患者临床症状。

Objective:To explore the influence of Xihuang Capsules combined with raw rhubarb on pelvic lymphocyst(PL)after radical resection of cervical cancer.Method:From September 2021 to September 2023,80 patients with PL of damp-heat stasis accumulation type after radical resection of cervical cancer in Jiangxi Maternal and Child Health Hospital were enrolled and classified into two groups according to the random number table method,with 40 cases in each group.The control group was treated with raw rhubarb,and the observation group was given Xihuang Capsules combined with raw rhubarb.The clinical efficacy on the 90th day after surgery and pain status[visual analogue scale(VAS)],TCM syndrome score and inflammatory factor[C reactive protein(CRP)]before treatment and after 30 days and 90 days of treatment were compared between both groups.Result:After 90 days of treatment,the clinical efficacy in observation group was significantly higher than that in control group(P<0.05).After 30 and 90 days of treatment,the VAS score,TCM syndrome score and CRP level in observation group and control group were significantly decreased compared with those before treatment(P<0.05),and those in observation group were lower than those in control group(P<0.05).Conclusion:Xihuang Capsules combined with raw rhubarb has an exact efficacy in the treatment of PL patients after radical resection of cervical cancer,and it can relieve the clinical symptoms of patients.