Observation on the curative effect and nursing care of mirabilite external application in treating periappendiceal abscess with yin-damaging syndrome caused by heat toxicity
摘要: 目的 探讨芒硝外敷治疗热毒伤阴证阑尾周围脓肿的临床疗效。方法 选取在本科住院确诊为热毒伤阴证阑尾周围脓肿患者60例，随机分为治疗组与对照组，对照组予以常规抗生素治疗，疗程1～2周，治疗组在对照组的基础上配合芒硝外敷，比较两组总有效率、体温恢复正常时间、腹痛缓解时间、脓肿缩小时间、白细胞计数恢复正常时间、住院时间、患者满意度。结果 治疗组总有效率为93.33%明显高于对照组73.33%，疗效差异有统计学意义( P＜0.05) 。两组患者在总有效率、体温恢复正常时间、腹痛缓解时间、脓肿缩小时间、白细胞计数恢复正常时间、住院时间、患者满意度相比较，治疗组均优于对照组( P＜0.05)。结论 芒硝外敷治疗热毒伤阴证阑尾周围脓肿能增强疗效，减轻患者痛苦，缩短住院时间，提高患者对护理满意度，且操作方法简便、安全，值得临床广泛推广应用。
Abstract: Objective To explore the clinical effect of external application of mirabilite on periappendiceal abscess with yin-damaging syndrome caused by heat toxicity.Methods 60 cases of periappendiceal abscess diagnosed as heat-toxic yin-damaging syndrome were randomly divided into treatment group and control group. The control group was treated with conventional antibiotics for 1～2 weeks, while the treatment group was treated with external application of mirabilite on the basis of the control group. The total effective rate, time for body temperature to return to normal, time for abdominal pain relief, time for abscess reduction, time for white blood cell count to return to normal, hospitalization time and patient satisfaction were compared between the two groups.Results The total effective rate in the treatment group was 93.33%, which was significantly higher than that in the control group (73.33%), and the difference in curative effect was statistically significant (P<0.05). Compared with the control group, the total effective rate, the time for body temperature to return to normal, the time for abdominal pain relief, the time for abscess reduction, the time for white blood cell count to return to normal, the hospital stay and the patient satisfaction of the two groups were better in the treatment group (P<0.05).Conclusion The external application of mirabilite in treating periappendiceal abscess with yin-damaging syndrome due to heat toxicity can enhance the curative effect, relieve patients' pain, shorten hospitalization time and improve patients' satisfaction with nursing, and the operation method is simple and safe, which is worthy of wide clinical application.