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目的探讨术尔泰在盆腔手术中的应用价值。方法选择妇科及产科手术共300例,随机分为研究组(应用术尔泰组)和对照组(未应用术尔泰组)2组,每组150例。2组病例在术后常规用生理盐水、甲硝唑液冲洗腹腔至清亮,吸除残液,研究组加用术尔泰溶液200ml置入腹腔,术后5～7d再次追加术尔泰溶液300ml进行腹腔内注射。比较2组临床疗效。结果研究组术后24h内通气排便率明显高于对照组(P<0.01),术后体温>37.7℃发生率明显低于对照组(P<0.01);术后杜冷丁用量明显低于对照组〔(40±3)vs(100±3)mg,P<0.01〕;研究组在第2次手术中盆腔粘连发生率低于对照组(17.07%vs90.63%,P<0.01)。结论术尔泰具有抗炎、促进肠蠕动恢复、预防和减少手术后盆腔粘连作用,值得临床推广应用。
Objective To explore the value of Artelide in pelvic surgery. Methods A total of 300 gynecological and obstetric surgeries were enrolled in this study. They were randomly divided into two groups (study group: Artelide group) and control group (Arteril group: 150 cases). The patients in the two groups were routinely treated with normal saline and metronidazole solution to clear the abdominal cavity and absorb the residue liquid. The study group was treated with 200ml of Arterios solution and placed in the abdominal cavity. After the operation, artier solution 300ml Intraperitoneal injection. The clinical efficacy of two groups were compared. Results The rate of ventilation and defecation in the study group was significantly higher than that in the control group within 24 hours after operation (P <0.01), and the postoperative incidence of body temperature> 37.7 ℃ was significantly lower than that of the control group (P <0.01) 〔(40 ± 3) vs (100 ± 3) mg, P <0.01〕. The incidence of pelvic adhesions in the second operation was lower in the study group than in the control group (17.07% vs 90.63%, P <0.01). Conclusion Arterite has anti-inflammatory, promote the recovery of bowel movements, prevention and reduction of postoperative pelvic adhesions, worthy of clinical application.