剖宫产术后辅助中药在降低抗生素应用中的研究

A study of traditional Chinese medicine on reduced antibiotic use after cesarean section

关键词:  抗生素  剖宫产  中药  十全大补汤合五味消毒散加减

Key words:  antibiotic  cesarean section  traditional Chinese medicine  modified Shiquan Dabu Decoction and Wuwei Xiaodu Powder

摘要:

[目的] 研究剖宫产术后辅助中药在降低抗生素中的价值。[方法] 选择本院2018年7月—2020年1月纳入的140例剖宫产术后患者作为试验对象，采用Excel程序将140例患者按入院顺序进行随机数字编号，按随机数字表法将患者分为两组各70例。治疗组选择中药治疗，对照组选择常规治疗，术后1、3 d测定两组的白细胞计数、中性粒细胞指标，同时记录所有试验对象的宫底高度、初次排气、初次肠鸣音及住院时长，最后观察两组并发症发生率（宫腔感染、泌尿系统感染、切口感染、发热等），对比两组治疗结果。[结果] 两组术后1 d的白细胞计数、中性粒细胞比较无差异（P>0.05），术后3 d治疗组指标水平低于对照组（P<0.05）。治疗组的宫底高度、初次排气、初次肠鸣音及住院时长均低于对照组（P<0.05）。治疗组并发症发生率5.71%明显低于对照组15.71%（P<0.05）。[结论] 剖宫产术后辅助中药在降低抗生素中效果显著，促进病情快速稳定，有效控制感染，减低并发症的发生率，安全性高，为预后提供保障。

Abstract:

[Objective] To analyze the value of traditional Chinese medicine(TCM) on reduced antibiotic use after Cesarean section.[Methods] 140 cases of undergoing cesarean section July 2018 to January 2020 were chosen as research subjects;through Excel program, subjects were numerically symbolized and randomly classified into treatment group (70 cases, traditional Chinese medicine) and control group(70 cases, routine treatment). Treatment effects were appraised through white blood cell count and neutrophile granulocyte after 1 d and 3 d of surgery as well as fundus height, initial exhaust time and bowel time, hospital stays, surgical complications like intrauterine infection, urinary system infection, incisional wound infection and fever.[Results] After 1 d of surgery, the white blood cell count and neutrophile granulocyte between the two groups were not significantly different(P>0.05);after 3 d of surgery, white blood cell count and neutrophile granulocyte levels in the treatment group were lower than those of control group(P<0.05);fundus height, initial exhaust time, bowel time and hospital stays in the treatment group were shorter than those of control group(P<0.05);complication rate in the treatment group(5.71%) was lower than that of control group(15.71%) (P<0.05).[Conclusion] After cesarean section, TCM can remarkably stabilize the illness state, control the infections, reduce the complication rate, and improve the treatment safety and prognosis.