中药芒硝、大黄外敷在妇科腹腔镜术后腹部瘀斑中的应用

张萍

宝鸡市妇幼保健院妇 1 科，陕西 宝鸡，721000

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摘要：

目的 探讨中药芒硝、大黄外敷在妇科腹腔镜术后腹部瘀斑中的应用效果。方法 选取在我院行妇科腹腔镜手术后发生腹部瘀斑的患者 70例，随机将其分为观察组和对照组，各 35例。对照组行常规治疗，观察组在常规治疗的基础上应用芒硝、大黄外敷。对比两组用药后的疼痛情况、瘀斑变浅时间和瘀斑持续时间及患者对治疗的满意度。结果 随着用药时间的推移，两组的 VAS评分均降低（P＜0.05）；用药 1、3 d后，观察组的 VAS评分均低于对照组（P＜0.05）；观察组的瘀斑变浅时间和瘀斑持续时间均短于对照（P＜0.05）；观察组患者治疗的满意度高于对照组（P＜0.05）。结论 应用中药芒硝、大黄外敷治疗妇科腹腔镜术后腹部瘀斑可有效地缓解疼痛，加快瘀斑的吸收，并可提高患者对治疗的满意度，值得临床推广。

关键词： 腹部瘀斑；芒硝；大黄；腹腔镜

中图分类号： R737.9文献标志码：A文章编号：2096-1413(2018)07-0112-02

Application effect of Chinese medicine Mirabilite and Rhubarb for external use in
abdominal ecchymosis after gynecologic laparoscopic surgery


ZHANG Ping
(No.1 GynecologyDepartment,BaojiMaternaland Child CareHospital,Baoji721000,China)



ABSTRACT: Objective To explore the clinical effects of Chinese medicine Mirabiliteand Rhubarb for external use in abdominal ecchy mosisaftergy necologic laparoscopic surgery. Methods A total of 70 patients with abdominal ecchymosis after gynecological laparoscopic surgery in our hospital were selected and randomly divided into observation group (35cases) and controlgroup (35 cases).The controlgroup received conventional treatment,while the observation group was treated with Mirabilite and Rhubarb for external use on the basis of routine treatment.The pain condition, the superficial time of ecchymosis and the duration of ecchymosis and the satisfaction of the two groups were compared. Results With the passage of time, the VAS scores of the two groups decreased (P<0.05); after1,3 days of medication, theVAS scores of the observation group were lower than those of the controlgroup (P<0.05). The superficial time of ecchymosis and the duration of ecchymosisin the observation group were shorter than those in the control group(P<0.05). The satisfaction rate with treatment of the observation group was higher than that of the controlgroup (P<0.05).Conclusion The application of Chinese medicine Mirabilite and Rhubarb for external use in abdominal ecchymosis after gynecological laparoscopic can effectively relieve pain,accelerate the absorption of ecchymosis,and improve patients``satisfaction with treatment,which is worthy of clinical promotion.                                                                                                    　                                                                            KEYWORDS: abdominal ecchymosis; Mirabilite; Rhubarb; laparoscopic


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