目的 考察闌尾清化湯聯(lián)合血必凈注射液對(duì)非手術(shù)治療急性闌尾炎患者的臨床療效。方法 選取天津市南開醫(yī)院2011年3月—2012年2月就診的非手術(shù)治療的急性闌尾炎患者82例，隨機(jī)分為治療組42例和對(duì)照組40例，對(duì)照組患者給予補(bǔ)液、退熱、止吐和維持機(jī)體酸堿平衡等對(duì)癥治療；口服闌尾清化湯，1 劑/d，分2次口服；同時(shí)給予頭孢噻肟鈉注射液靜脈滴注，1.0 g/次，2 次/d。治療組在此基礎(chǔ)上加用血必凈注射液50 mL/次，加入到生理鹽水100 mL靜脈滴注，2 次/d。兩組療程均為7 d。觀察兩組患者的臨床療效及不良反應(yīng)。結(jié)果 治療組和對(duì)照組總有效率分別為95.24%、87.50%，兩組比較差異有統(tǒng)計(jì)學(xué)意義（P＜0.05）。結(jié)論 闌尾清化湯聯(lián)合血必凈注射液對(duì)急性闌尾炎有良好的治療作用，療效確切，值得臨床應(yīng)用。

Objective To evaluate the clinical efficiency of Lanweiqinghua Decoction combined with Xuebijing Injection on acute appendicitis by non-operation treatment. Methods The patients (82 cases) diagnosed with acute appendicitis by non-operation treatment in Tianjin Nankai Hospital from March 2011 to February 2012 were randomly divided into treatment (42 cases) and control (40 cases) groups. The patients in the control group were treated with fluid resuscitation, defervescence, antiemesis, body acid-base balance maintaining, and other symptomatic treatment. They were ig administered with Lanweiqinghua Decoction, one dose daily, and at the same time, they were iv administered with Cefotaxime Injection (1.0 g/once, twice daily). The patients in the treatment group were iv administered with Xuebijingoin Injection (50 mL added into 100 mL physiological saline), twice daily, other treatment was as same as the control group. Two groups were treated for 7 d, then the clinical efficacy and adverse reactions were observed. Results The efficiency for the patients both in the treatment and control groups was 95.24% and 87.50% with the significant difference (P < 0.05). Conclusion Lanweiqinghua Decoction combined with Xuebijing Injection has a accurate curative effect on the acute appendicitis,by non-operation treatment, which could be used in clinical appendicitis.