| 摘要: |
| [目的] 研究剖宮產術后輔助中藥在降低抗生素中的價值。[方法] 選擇本院2018年7月—2020年1月納入的140例剖宮產術后患者作為試驗對象，采用Excel程序將140例患者按入院順序進行隨機數字編號，按隨機數字表法將患者分為兩組各70例。治療組選擇中藥治療，對照組選擇常規治療，術后1、3 d測定兩組的白細胞計數、中性粒細胞指標，同時記錄所有試驗對象的宮底高度、初次排氣、初次腸鳴音及住院時長，最后觀察兩組并發癥發生率（宮腔感染、泌尿系統感染、切口感染、發熱等），對比兩組治療結果。[結果] 兩組術后1 d的白細胞計數、中性粒細胞比較無差異（P>0.05），術后3 d治療組指標水平低于對照組（P<0.05）。治療組的宮底高度、初次排氣、初次腸鳴音及住院時長均低于對照組（P<0.05）。治療組并發癥發生率5.71%明顯低于對照組15.71%（P<0.05）。[結論] 剖宮產術后輔助中藥在降低抗生素中效果顯著，促進病情快速穩定，有效控制感染，減低并發癥的發生率，安全性高，為預后提供保障。 |
| 關鍵詞: 抗生素 剖宮產 中藥 十全大補湯合五味消毒散加減 |
| DOI：10.11656/j.issn.1673-9043.2023.02.07 |
| 分類號:R719.8 |
| 基金項目:河北省中醫藥管理局科研計劃項目（2019398）。 |
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| A study of traditional Chinese medicine on reduced antibiotic use after cesarean section |
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CAO Jingjing1, ZHANG Hui1, LIU Quanyin2, KONG Lingchao1, GONG Hailiang1, GAO Xiangru1
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1.Obstetrics and Gynecology Department, Handan Ming Ren Hospital, Handan 056000, China;2.General Surgery Department, Handan Ming Ren Hospital, Handan 056000, China
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| 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. |
| Key words: antibiotic cesarean section traditional Chinese medicine modified Shiquan Dabu Decoction and Wuwei Xiaodu Powder |
