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目的:研究参苓白术散在促进妇产科腹部手术后康复治疗中的临床作用.方法:对100例妇产科腹部手术病例按随机配对分为观察组和对照组,各50例,两组均行围手术期抗感染补液治疗.研究组在术后第二天开始口服参苓白术散汤剂,对照组为空白组,术后不加用中药.观察术前、术后24 h及术后第5天C反应蛋白、IgA、IgG、IgM,中医脾虚夹湿症候评分.结果:参苓白术散汤剂可减轻术后脾虚夹湿证评分,提高术后外周血IgM含量,降低术后C反应蛋白含量,对提高术后血补体3、补体4、IgA、IgG含量无显著变化.结论:参苓白术散改善术后脾虚夹湿证症候,提高妇产科腹部手术术后病人的免疫力,减轻手术创伤带来的应激及免疫抑制反应.“,”To observe the clinical application of Shenlingbaizhu powder in the rehabilitation therapy of patients after obstetric and gynecological abdominal surgery. Methods: 100 patients undergoing obstetric and gynecological abdominal surgery were divided into observation group (50 cases) and control group (50 cases) randomly, all the cases received anti-infection and fluid replacement treat-ment. On the second day after surgery, the cases in observation group were administrated Shenlingbaizhu powder orally. The levels of C-re-active protein, IgA, IgG, IgM and symptomatic score of splenic asthenia were observed pre-operative and post-operative 24 hours and the fifth day after surgery. Results: Shenlingbaizhu powder improved the symptomatic score of splenic asthenia and the IgM level in peripheral blood, reduced the C-reactive protein level, but the levels of alexin3, alexin4, IgA and IgG changed indistinctively before and after the surgery. Conclusion: Shenlingbaizhu powder can improve the symptomatic score of splenic asthenia and immunity of patients, relieve the posttraumatic stress and immunosuppressive reaction.