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目的比较过氧化氢与甲硝唑腹腔冲洗治疗急性继发性腹膜炎的效果。方法选取2013年7月—2014年7月商城县中医院收治的急性继发性腹膜炎患者90例,随机分为试验组与对照组,各45例。试验组患者予以过氧化氢腹腔冲洗治疗,对照组患者予以甲硝唑腹腔冲洗治疗。观察两组患者临床疗效、胃肠功能恢复时间、住院时间及并发症发生情况。结果试验组患者总有效率高于对照组,差异有统计学意义(P<0.05);试验组患者胃肠功能恢复时间、住院时间短于对照组(P<0.05);试验组患者并发症发生率低于对照组(P<0.05)。结论过氧化氢腹腔冲洗治疗急性继发性腹膜炎的效果好于甲硝唑,可缩短胃肠功能恢复时间和住院时间,且并发症少。
Objective To compare the effects of hydrogen peroxide and metronidazole peritoneal irrigation on acute secondary peritonitis. Methods 90 patients with acute secondary peritonitis admitted from July 2013 to July 2014 in Shangcheng Chinese Medicine Hospital were randomly divided into experimental group and control group, with 45 cases in each group. Patients in the test group were treated with hydrogen peroxide peritoneal irrigation, and patients in the control group were treated with metronidazole peritoneal lavage. The clinical efficacy, gastrointestinal function recovery time, hospitalization time and complication of the two groups were observed. Results The total effective rate of the experimental group was significantly higher than that of the control group (P <0.05). The recovery time of gastrointestinal function and hospital stay in the experimental group were shorter than that of the control group (P <0.05) The rate was lower than that of the control group (P <0.05). Conclusion Hydrogen peroxide peritoneal flushing is more effective than metronidazole in the treatment of acute secondary peritonitis, which can shorten the recovery time of gastrointestinal function and hospital stay with less complications.