臭氧联合腹腔镜在盆腔炎性疾病中应用及其临床意义.docVIP

臭氧联合腹腔镜在盆腔炎性疾病中应用及其临床意义 　　【摘要】 目的 通过研究臭氧在腹腔镜盆腔炎性疾病中的应用后临床指标的变化，探讨其临床应用价值及前景。方法 盆腔炎性疾病患者60例，根据手术适应症，分别行腹腔镜下探查+生理盐水冲洗（对照组30例）及腹腔镜下探查+臭氧水冲洗（实验组30例）。术后均应用抗生素预防感染，根据药敏培养更换相应抗生素，就两组体温变化、血象及C反应蛋白（CRP）、自觉症状及体征恢复至正常的天数及术后应用抗生素天数、术后随访其复发率等进行比较。结果 实验组体温、血象及CRP恢复至正常的天数、术后应用抗生素天数、术后复发率与对照组相比减低明显均较对照组降低，差异有统计学意义（p0.05）。结论 臭氧联合腹腔镜在治疗盆腔炎性疾病中疗效确切，术后能减少抗生素的应用，并能 　　降低其复发率，具有经济、绿色、环保的特点。 　　【关键词】 盆腔炎性疾病；臭氧；腹腔镜 　　doi：10.3969/j.issn.1004-7484（x）.2014.05.040 文章编号：1004-7484（2014）-05-2441-02 　　Application and clinical significance of ozone combined laparoscopy in pelvic inflammatory disease 　　LIU Hui-min，HOU yu-hua，XIANG yuan-cui 　　Department of Obstetrics and Gynecology，the Zhengzhou center hospital affiliated to Zhengzhou university.He Nan 450000 China 　　【Abstract】Objective To probe the clinical significance and its prospect by detected the changes of parameters in the ozone combined laparoscopy in pelvic inflammatory disease.Methods 30 samples of control group are from the laparoscopic exploration and saline irrigation.The other 30 samples of experimental group are from the laparoscopic exploration and ozone water washing.After the operation，we use the antibiotics to prevent infection and change the corresponding antibiotics according to drug sensitive，We compare the temperature；routine blood test；C-reactive protein；days of rational symptom and signs return to normal，days of using antibiotics after operation and relapse rate.Results The temperature；routine blood test；C-reactive protein；days of using antibiotics after operation and relapse rate of experimental group decreased obviously compared with that of control group.And the difference is statistically significant（p0.05）.Conclusion It is effective that Ozone combined with laparoscopy in the treatment of pelvic inflammatory disease.We can reduce the application of antibiotics and the relapse rate after the operation.It has the trait of economy，green and environmental protection. 　　【Key words】 Pelvic inflammatory disease；ozone；