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目的:观察参麦注射液干预治疗腹部术后气虚发热的效果。方法:选取112例腹部术后气虚发热患者,随机分为2组各56例。均根据患者病情及手术情况予外科术后常规治疗与护理,对照组予西医对症退热治疗与护理,治疗组在对照组的基础上予参麦注射液治疗,疗程均为5d,比较2组综合疗效、治疗期间平均发热温度及发热持续时间。结果:治疗组治疗后临床痊愈率53.57%,总有效率96.43%,对照组临床痊愈率32.14%,总有效率94.64%,2组总有效率差异无统计学意义(P>0.05),临床治愈率治疗组高于对照组(P<0.05);治疗组治疗期间平均发热温度(37.9±0.4)℃,平均发热持续时间(40.7±12.8)h,对照组治疗期间平均发热温度(38.5±0.6)℃,平均发热持续时间(51.2±14.1)h,两两比较,差异均具有统计学意义(均P<0.05)。结论:参麦注射液治疗腹部术后气虚发热疗效确切,可有效控制发热,更好地降低患者发热的程度及发热的持续时间,值得临床推广。
Objective: To observe the effect of Shenmai injection in treating post-abdominal deficiency fever. Methods: One hundred and twelve patients with deficiency of calculus after abdomen were selected and randomly divided into two groups of 56 cases. According to the patient’s condition and surgical conditions to conventional surgery and nursing surgery, the control group to Western symptomatic antipyretic treatment and care, the treatment group in the control group on the basis of Shenmai injection treatment, treatment were 5d, compared with two groups Comprehensive effect, the average treatment of fever and fever duration. Results: The clinical cure rate and the total effective rate were 53.57% and 96.43% respectively in the treatment group and 32.14% in the control group, with a total effective rate of 94.64%. There was no significant difference in the total effective rate between the two groups (P> 0.05) The mean fever (37.9 ± 0.4) ℃, the average duration of fever (40.7 ± 12.8) h in the treatment group and the average fever temperature (38.5 ± 0.6) in the control group during the treatment period were higher in the treatment group than in the control group (P <0.05) ℃, the average duration of fever (51.2 ± 14.1) h, any pairwise comparison, the differences were statistically significant (P <0.05). Conclusion: Shenmai injection is effective in treating pyrexia after abdomen operation, which can effectively control the fever and reduce the degree of fever and the duration of fever, which is worthy of clinical promotion.