研究耳穴压豆法联合益气活血生肌方在预防妇科盆腔手术术后感染中的作用。

选择本院2014年1月至2015年6月收治的296例盆腔手术患者，采用数字表随机法分为两组，其中研究组148例患者于术中和术后预防性应用抗菌药物的同时，给予耳穴压豆法联合益气活血生肌方预防感染；对照组患者148例于常规术中、术后预防性使用抗菌药物，术后动态监测患者的白细胞计数、C-反应蛋白水平和体温变化，比较两组患者术后疼痛、排气、排便时间及各种感染发生率。

两组患者术后3 d、5 d CRP浓度差异具统计学意义（χ²= 8.254、6.337，P = 0.007、0.015）。两组患者术后排气时间差异无统计学意义（t = 0.462、P = 0.543）。研究组患者术后排便时间短于对照组，平均VAS疼痛评分低于对照组，差异具有统计学意义（t = 5.049、3.161，P = 0.028、0.041）。研究组患者术后感染和发热发生率分别为2.03%和5.41%；对照组患者分别为10.81%和18.24%，两组差异具有统计学意义（χ²= 3.729、5.661，P = 0.036、0.024）。

耳穴压豆法联合益气活血生肌方可预防妇科盆腔手术后感染，还可减轻疼痛，缩短术后功能恢复时间。

To investigate the effect of ear pressure beans combined with Yiqihuoxueshengji Decoction in infection prevention after gynecological pelvic surgery.

Total of 296 cases with pelvic surgery in our hospital from January 2014 to June 2015 were selected and divided into two groups by the digital table random method. Among whom, 148 cases who were collected as the observation group were given ear pressure beans combined with the Yiqihuoxueshengji Decoction for preventing infection, when the antibiotics were applied in the operation and for infection prevention. The control group with 148 patients were given routine intraoperative and postoperative prophylactic use of antibiotics, all the cases were given postoperative dynamic monitoring for white cell count, C-reactive protein levels and changes of body temperature. Postoperative pain, exhaust, defecation time and the incidence of infection were compared between the two groups after operation.

The concentration of CRP of 3 days and 5 days after operation in both groups were statistically significant (χ² = 8.254, 6.337; P = 0.007, 0.015). But there was no significant difference of postoperative exhaust time between the two groups (t = 0.462, P = 0.543). Compared with the control group, the defecation time was significantly shorter, while the average VAS pain score was significantly lower in patients of the observation group (t = 5.049, 3.161; P = 0.028, 0.041). The incidence of postoperative infection and fever in the study group were 2.03% and 5.41%, respectively, which were 10.81% and 18.24% in control group, with significant differences (χ²= 3.729, 5.661; P = 0.036, 0.024).

The ear pressure beans combined with the Yiqihuoxueshengji Decoction after gynecologic surgery could prevent infection and also relieve pain, shorten the function recovery period.