首页> 中文期刊> 《中国医院用药评价与分析 》 >黄芩素铝胶囊预防阑尾炎术后感染的疗效观察

黄芩素铝胶囊预防阑尾炎术后感染的疗效观察

             

摘要

OBJECTIVE:To investigate the effects of Radix scutellariae aluminum capsules in prevention of postoperative infection of appendicitis .METHODS:186 patients with acute appendicitis admitted from Jan .2012 to Dec. 2015 were selected to be divided into control group and observation group via the random number table , with 93 cases in each.The control group were treated with routine antibiotics after appendicitis surgery , while observation group additionally received Radix scutellariae aluminum capsules based on the control group .The wound infection , expression level of inflammatory factors , wound healing , body temperature after surgery , exhausting , length of stay and adverse drug reactions were compared between two groups .RESULTS:The infection rate of observation group after surgery was 3.23%(3/93), significantly lower than that of control group 11.83%(3/93), with statistically significant difference (P <0.05) .The CD4+of observation group were higher than that of control group , while CD4 +/CD8+, interleukin 6,interleukin 10, tumor necrosis factor αwere lower than that of control group , with statistically significant difference ( P<0.05) .The class A healing rate of observation group was 74.19%( 69/93 ) , significantly higher than that of control group 63.44%(59/93);the class C healing rate of observation group was 2.15%(2/93) , significantly lower than that of control group 10.75%(10/93), with statistically significant difference (P<0.05).The postoperative recovery time of body temperature , exhausting and length of stay of observation group were significantly lower than that of control group , with statistically significant difference ( P<0.05) .There were no adverse drug reactions in two groups during treatment . CONCLUSIONS: The effects of Radix scutellariae aluminum capsules in prevention of postoperative infection of appendicitis is remarkable , which can reduce the postoperative infection rate , improve symptoms in patients , shorten the length of stay with high safety .It is worthy of clinical application and promotion .%目的:探讨黄芩素铝胶囊预防阑尾炎术后感染的效果。方法:选择2012年1月—2015年12月收治的急性阑尾炎186例,按随机数字表法分为对照组和观察组各93例。对照组患者在阑尾炎术后给予常规抗菌药物,观察组在对照组治疗的基础上给予黄芩素铝胶囊。比较2组患者的切口感染情况,炎性因子表达水平,切口愈合情况,术后体温、排气和住院时间及不良反应发生情况。结果:观察组患者术后感染率为3.23%(3/93),明显低于对照组的11.83%(3/93),差异有统计学意义(P<0.05)。观察组患者CD4+水平高于对照组,而CD4+/CD8+、白细胞介素6、白细胞介素10、肿瘤坏死因子α水平均低于对照组,差异有统计学意义(P<0.05)。观察组患者甲级愈合率为74.19%(69/93),明显高于对照组的63.44%(59/93);观察组患者丙级愈合率为2.15%(2/93),明显低于对照组的10.75%(10/93),差异均有统计学意义(P<0.05)。观察组患者术后体温恢复、排气和住院时间均明显短于对照组,差异有统计学意义(P<0.05)。2组患者均未见明显不良反应。结论:黄芩素铝胶囊防阑尾炎术后感染效果较好,可降低术后感染率,改善患者症状,缩短住院时间,且安全性较高,值得临床推广。

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