Abstract

To explore the treatment effect of Jianpi Yiqi decoction in patients after splenic rupture repair. 68 patients with spleen rupture admitted to the hospital from January 2017 to October 2020 were randomly divided into the control group and the observation group. They were all treated with repair. The control group was treated with routine treatment after operation. The observation group was treated with Jianpi Yiqi decoction addition and subtraction at the same time of routine treatment after operation. The symptom scores before and after treatment was compared between the two groups, including fever, abdominal pain and fatigue. The recovery effect of spleen structure was compared between the two groups. Safety of medication and postoperative complications during treatment were compared between the two groups. After treatment, the scores of fever, abdominal pain, asthenia in the two groups decreased and the scores of the above symptoms in the observation group were lower than those in the control group, with statistically significant differences (p<0.05). There was a significant difference in the distribution of the effect of spleen structure recovery between the two groups (p<0.05). The total effective rate of the observation group was higher than that of the control group, with a statistically significant difference (p<0.05). The levels of cluster of differentiation 3, cluster of differentiation 4, cluster of differentiation 4/cluster of differentiation 8 in the two groups after treatment increased, in which the observation group were higher than those in the control group after treatment, with statistically significant differences (p<0.05). There was no significant difference in the incidence of adverse reactions between the two groups (p>0.05). The treatment of Jianpi Yiqi decoction addition and subtraction in patients after splenic rupture repair can significantly reduce symptoms, promote the recovery of spleen structure and T cell immunity and it is safe and reliable.