摘要
目的研究清热活血法治疗腰椎间盘突出症术后发热的临床效果。方法选取2018年6月至2020年4月接收的腰椎间盘突出症术后发热患者94例。采用随机方式将所有患者平均分为观察组与对照组,每组47例。对照组给予西医常规治疗加物理降温,观察组在其基础上加行清热活血法治疗,比较2组患者临床疗效。结果2组经不同方法治疗后,观察组总有效率为97.87%,对照组为70.21%,观察组显著高于对照组,差异有统计学意义(P<0.05);2组治疗后0 h的平均体温比较差异无统计学意义(P>0.05),治疗后3~72 h,观察组患者平均体温较对照组低,且该组各个时段较上一时段的体温下降幅度也较对照组明显(P<0.05);观察组患者的退热起效时间较对照组早、体温波动幅度较对照组小、体温恢复至正常时间较对照组短(P<0.05);2组患者发热次数、发热程度、伴随症状、持续时间、总积分与治疗前比较有所降低(P<0.05),且观察组患者治疗后各项指标均较对照组低(P<0.05)。结论清热活血法治疗腰椎间盘突出症术后发热效果明显,能够提升患者机体免疫力,发挥其滋阴清热、活血益气之效,在较短时间内有效改善发热症状、持续退热、抑制体温波动,使患者尽快恢复正常体温,促进康复,值得推广。
Objective To investigate the clinical effects of heat clearing and blood activating therapy in treatment of postoperative fever in patientts with lumbar disc herniation after operation.Methods A total of 94 patients with postoperative fever who underwent surgical treatment for lumbar disc herniation in our hospital from June 2018 to April 2020 were enrolled in the study,who were randomly divided into observation group and control group,with 47 cases in each group.The patients in control group were treated by conventional western medicines combined with physical cooling,however,the patients in observation group,on the basis of control group,were treated by heat clearing and blood activating therapy.After tyreatment the clinical curative effects were observed and compared between the two groups.Results The total effective rate in observation group was 97.87%,which was significantly higher than that(70.21%)in control group(P<0.05).There was no significant difference in the average body temperature 0h after treatment between the two groups(P>0.05),however,the average body temperature at 3~72h after treatment in observation group was significantly lower than that in control group(P<0.05).Moreover the onset time of pyretolysis in observation group was significantly earlier than that in control group,and the fluctuation range of temperature was significantly smaller than that in control group,and the time for the body temperature to return to normal was significantly shorter than that in control group(P<0.05).In addition the fever frequeency,fever degree,accompanying symptoms,duration,total scores in both were significantly less than those before treatment(P<0.05),and the indexes in observation group were superior to those in control group(P<0.05).Conclusion The heat clearing and blood activating therapy in treatment of postoperative fever in patientts with lumbar disc herniation after operation can obtain obvious curative effects,which can improve the immunity of patients,promove the symptoms of fever,inhibit the fluctuation of body temperature,so as to promote the recovery of patients,with safety and effectiveness,therefor,it is worthy of clinical promotion.
作者
张高翔
王德成
苏凤哲
石浩
季煦
何稚鸥
ZHANG Gaoxiang;WANG Decheng;SU Fengzhe(Department of Spinal Column Trauma,Tongzhou District Hospital of Integrated Traditional Chinese and Western Medicine,Beijing,Tongzhou 101100,China)
出处
《河北医药》
CAS
2020年第19期2943-2946,共4页
Hebei Medical Journal
关键词
清热活血
腰椎间盘突出
术后发热
滋阴益气
疗效
clearing away heat and promoting blood circulation
lumbar disc herniation
postoperative fever
nourishing Yin and replenishing Qi
curative effects
