[1]高咏梅,要慧萍,柳金梅.清热排脓生肌汤口服加外敷治疗剖宫产术后腹壁切口感染临床观察[J].西部中医药,2022,35(07):111-114.[doi:10.12174/j.issn.2096-9600.2022.07.29]
　GAO Yongmei,YAO Huiping,LIU Jinmei.Clinical Observation on Treating Abdominal Incision Infection after Cesarean Section by Oral Administration and External Application of Qingre Painong Shengji Tang[J].Western Journal of Traditional Chinese Medicine,2022,35(07):111-114.[doi:10.12174/j.issn.2096-9600.2022.07.29]
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清热排脓生肌汤口服加外敷治疗剖宫产术后腹壁切口感染临床观察

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
35
期数:
2022年07期
页码:
111-114
栏目:
出版日期:
2022-07-15

文章信息/Info

Title:
Clinical Observation on Treating Abdominal Incision Infection after Cesarean Section by Oral Administration and External Application of Qingre Painong Shengji Tang
作者:
高咏梅1, 要慧萍2, 柳金梅1
1.甘肃省计划生育科学技术服务中心，甘肃 兰州 730000
2.兰州大学第一医院
Author(s):
GAO Yongmei1, YAO Huiping2, LIU Jinmei1
1.Gansu Province Family Planning Science and Technology Service Center, Lanzhou 730000, China
2.The First Hospital of Lanzhou University
关键词:
剖宫产术后; 腹壁切口感染; 清热排脓生肌汤; 临床观察
Keywords:
after cesarean section; abdominal incision infection; clinical observation
分类号:
R271.43
DOI:
10.12174/j.issn.2096-9600.2022.07.29
文献标志码:
B
摘要:
目的观察清热排脓生肌汤口服加外敷治疗剖宫产术后腹壁切口感染的临床效果。 方法将60例剖宫产术后腹壁切口感染患者随机分为治疗组和对照组各30例，治疗组口服中药清热排脓生肌汤，每日1剂，早晚分服，并将药渣装入消毒好的袋子于切口处外敷；对照组予广谱抗生素抗感染及清创缝合。观察两组患者切口感染病原菌分布及构成比；采用视觉模拟评分量表（visual analogue scale，VAS）比较两组患者疼痛情况；观察两组患者感染创面愈合时间、平均住院时间及患者满意度。 结果切口分泌物和脓液标本中分离鉴定出病原菌113株，其中革兰阴性菌68株，革兰阳性菌45株；VAS评分治疗组低于对照组（P＜0.05）；感染创面愈合时间和平均住院时间治疗组短于对照组（P＜0.05）；治疗组患者满意度高于对照组（P＜0.05）。 结论清热排脓生肌汤口服加外敷能降低剖宫产术后腹壁切口感染，减轻疼痛，缩短创面愈合时间和平均住院时间，提高患者满意度，效果优于广谱抗生素抗感染及清创缝合。
Abstract:
ObjectiveTo observe therapeutic effects of oral administration and external application of Qingre Painong Shengji Tang in the treatment of abdominal incision infection after cesarean section. MethodsSixty patients were randomized into the treatment group and the control group, 30 cases in each group, the treatment group took Qingre Painong Shengji Tang orally, one dose each day, taking in the morning and evening, after putting the herb residues into the sterilized bags, it was externally applied; the control group received wide-spectrum antibiotics to resist infection, debridement and suture. To observe distribution and composition ratio of pathogenic bacteria in wound infection between both groups; VAS was used to compare the pain degrees between both groups; to observe healing time of infected wound, average hospital stay and the patients' satisfactions between both groups. ResultsAll 113 strains of pathogen were isolated and identified from the samples of incisional secretions and pus, among them, there were 68 strains of gram-negative bacteria and 45 ones of gram-positive bacteria; VAS scores of the treatment group were lower than these of the control group (P<0.05); the treatment group was shorter than the control group in healing time of infected wound and average hospital stay (P<0.05); the treatment group was higher than the control group in the patients' satisfactions (P<0.05). ConclusionOral administration and external application of Qingre Painong Shengji Tang could lower the incidence of abdominal incision infection after cesarean section, relieve pain, shorten healing time of infected wound and average hospital stay, and raise patients' satisfactions, and its effects are superior to these of wide-spectrum antibiotics resisting infection, debridement and suture.

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[1]王海玲,寇新华.中西药提高剖宫产术后再次足月妊娠阴道分娩成功率的临床观察[J].西部中医药,2015,28(05):118.
[2]韩伟,李坤珊,吕学亚.中药穴位贴敷联合推拿对剖宫产术后气虚血瘀证的干预效果[J].西部中医药,2025,38(10):150.[doi:10.12174/j.issn.2096-9600.2025.10.28]
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备注/Memo

备注/Memo:
高咏梅（1972—），女，主治医师。研究方向：妇科疾病的中西医结合诊治。
更新日期/Last Update: 2022-07-15