目的探讨腹腔镜阑尾切除术联合金黄散外敷治疗急性阑尾炎的临床效果。方法选取80例急性阑尾炎患者为研究对象,按随机数字表法将其分为对照组和观察组,各40例。对照组予以腹腔镜阑尾切除术治疗,观察组接受腹腔镜阑尾切除术治疗并在术后加用金黄散外敷治疗,持续外敷至患者出院。比较两组患者术后恢复情况、炎症指标、疼痛情况及并发症发生情况。结果观察组患者的下腹压痛持续时间、肠鸣音恢复时间、术后肛门排气时间、首次排便时间、抗生素使用时间及住院时间均短于对照组(均P<0.05)。术后3 d,两组患者的白细胞计数、C反应蛋白水平均明显降低,且观察组低于对照组(均P<0.05)。术后24 h,两组患者VAS评分均低于术后2 h,且观察组低于对照组(均P<0.05)。观察组患者并发症发生率为5.00%,明显低于对照组的20.00%(P<0.05)。结论腹腔镜阑尾切除术后予以金黄散外敷可使急性阑尾炎患者下腹压痛尽快消失,缩短抗生素使用时间,促进腹部炎症消退,降低并发症发生风险。
ObjectiveTo investigate the clinical effect of laparoscopic appendectomy combined with external application of Jinhuang Powder in the treatment of acute appendicitis. MethodsA total of 80 patients with acute appendicitis were selected as research objects and divided into control group and observation group according to the random number table method, with 40 cases in each group. The control group was treated with laparoscopic appendectomy, while the observation group was treated with laparoscopic appendectomy and additionally received external application of Jinhuang Powder after operation, which continued to be applied until the patient was discharged from the hospital. The postoperative recovery, inflammatory indicators, pain and complications incidence were compared between the two groups. ResultsThe duration of lower abdominal tenderness, bowel sound recovery time, postoperative anal exhaust time, first defecation time, antibiotic use time and hospital stay in the observation group were shorter than those in the control group (all P<0.05). On the 3rd day after operation, the white blood cell counts and C-reactive protein levels of the two groups were significantly decreased, and those in the observation group were lower than in the control group (all P<0.05). At the 24th hour after operation, the VAS scores of the two groups were lower than those at the 2nd hour after operation, which was lower in the observation group than that in the control group (all P<0.05). The incidence of complications in the observation group (5.00%) was significantly lower than that in the control group (20.00%) (P<0.05). ConclusionExternal application of Jinhuang Powder after laparoscopic appendectomy can make the lower abdominal tenderness of patients with acute appendicitis disappear as soon as possible, shorten the antibiotic use time, promote the resolution of abdominal inflammation, and reduce the risk of complications.