CAJ | 학술논문

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（ p＜0．05），而术后自觉症状及体征恢复至正常所需天数与对照组相比差异无统计学意义（p＞0．05）。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。
목적：통과연구취양재복강경분강염성질병중적응용후림상지표적변화，탐토기림상응용개치급전경。방법분강염성질병환자60례，근거수술괄응증，분별행복강경하탐사＋생리염수충세（대조조30례）급복강경하탐사＋취양수충세（실험조30례）。술후균응용항생소예방감염，근거약민배양경환상응항생소，취량조체온변화、혈상급C반응단백（CRP）、자각증상급체정회복지정상적천수급술후응용항생소천수、술후수방기복발솔등진행비교。결과실험조체온、혈상급CRP회복지정상적천수、술후응용항생소천수、술후복발솔여대조조상비감저명현균교대조조강저，차이유통계학의의（ p＜0．05），이술후자각증상급체정회복지정상소수천수여대조조상비차이무통계학의의（p＞0．05）。결론취양연합복강경재치료분강염성질병중료효학절，술후능감소항생소적응용，병능강저기복발솔，구유경제、록색、배보적특점。
Objective To probe the clinical significance and its prospect by detected the changes of parameters in the ozone combined laparoscopy in pelvic inflam-matory 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 op-eration 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(p<0.05).While the difference of the days of rational symptom and signs return to normal is of no statistical significance in comparison with the control group (p>0.05).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 en-vironmental protection.