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目的:观察中西医结合保守治疗急性单纯性阑尾炎患者的疗效及安全性。方法:选取240例急性单纯性阑尾炎患者作为研究对象,并随机分入观察组和对照组各120例。对照组采用抗生素等西药进行治疗,观察组在对照组治疗基础上加用中药方剂进行治疗。观察比较2组的临床疗效、治愈时间、并发症和药物不良反应发生情况。结果:观察组总有效率为97.37%,明显高于对照组的总有效率(87.83%),差异有统计学意义(P<0.01)。观察组疗程短于对照组,平均疗程数亦低于对照组,差异均有统计学意义(P<0.01)。观察组并发症发生率为1.75%,明显低于对照组(9.99%),差异有统计学意义(P<0.05)。治疗过程中,2组患者均未观察到明显不良反应情况。结论:中西医结合保守治疗急性单纯性阑尾炎可以显著提高疗效,缩短治愈时间,降低并发症发生率,同时具有较好的安全性。
Objective: To observe the efficacy and safety of traditional Chinese and western medicine in the conservative treatment of acute simple appendicitis patients. Methods: A total of 240 patients with acute simple appendicitis were selected as study subjects and randomly divided into observation group (120 cases) and control group (120 cases). The control group was treated with antibiotics and other western medicines. The observation group was treated with the traditional Chinese medicine on the basis of the control group. The clinical curative effect, cure time, complication and adverse drug reactions of the two groups were observed and compared. Results: The total effective rate in observation group was 97.37%, significantly higher than that in control group (87.83%), the difference was statistically significant (P <0.01). The observation group had shorter course of treatment than the control group and the average number of courses of treatment was also lower than that of the control group (P <0.01). The incidence of complications in the observation group was 1.75%, which was significantly lower than that in the control group (9.99%), the difference was statistically significant (P <0.05). During treatment, no significant adverse reactions were observed in both groups. Conclusion: Conservative traditional Chinese and Western medicine treatment of acute simple appendicitis can significantly improve the curative effect, shorten the cure time, reduce the incidence of complications, and has good safety.