Clinical Study on Treatment of Incision Infection after Appendectomy with Traditional Chinese Medicine
LI Sheng,DUAN Hong-mei,LI Yan
Abstract:
Objective To study the preventive effect of traditional Chinese medicine application therapy on healing and incision infection after appendectomy. Methods 120 patients with acute pyogenic appendectomy from February 2019 to February 2020 were selected, including 60 in each group. The control group intravenous the second generation of cefgaonidazole, and the incision was applied to sterile gauze. On this basis, the observation group were treated with traditional Chinese medicine application therapy. The incision healing rate, pain score, disassembly time, swelling area / incision length, drug change frequency, and adverse incision healing outcomes were compared. The serum tumor necrosis factor- α (TNF-α), prostaglandin E2 (PG E2) and superoxide dismutase (SOD) levels were compared before and after treatment. Results The surgical incision Grade A healing rate was 96.67%, which was significantly higher than 73.34% of the controls (P=0.01). Postoperative VAS score, disassembly time, swelling area / incision length and drug change frequency in the observed group were all significantly lower than those in the control group (P<0.01). The incidence of incision infection and abdominal abscess in the observed groups were significantly lower than those in the control group (P<0.05). After treatment, the serum TNF-α, PGE2 levels in the observed group were significantly lower than those in the controls (P<0.01), and the serum SOD levels were significantly higher than those in the controls (P<0.01). Conclusion Munro plus ice sheet patch therapy can significantly improve the quality of incision healing after appendectomy, reduce the risk of incision infection as well as accelerate the incision healing and the recovery of the condition.
