摘要
目的探讨减压引流联合中药坐浴对高位肛周脓肿(high perianal abscess,HPA)的治疗效果。方法收集2020年1月—2021年12月我院收治的HPA患者90例,随机分为对照组和观察组各45例。对照组采用治疗方法为高位虚挂线引流+高锰酸钾坐浴;观察组采用减压引流+清热生肌洗剂坐浴。比较两组患者的住院恢复情况、肛门功能恢复情况和炎症因子改善情况。结果观察组疼痛持续时间、创面水肿时间、渗出吸收时间、创面愈合时间、住院时间均短于对照组,差异有统计学意义(P<0.05)。观察组术后14 d的5-羟色胺、高敏C-反应蛋白、肿瘤坏死因子-α、白介素-1β、白介素-6水平均低于对照组,差异有统计学意义(P<0.05)。观察组术后1个月和术后2个月肛管静息压和肛管最大收缩压高于对照组,差异有统计学意义(P<0.05)。结论减压引流联合清热生肌洗剂坐浴,能够促进HPA患者症状缓解和降低炎症因子水平,并对肛门功能影响更小,值得临床推广应用。
Objective To investigate the therapeutic effect of decompression and drainage combined with traditional Chinese medicine hip bath on high perianal abscess(HPA).Methods A total of 90 patients with HPA admitted to our hospital from January 2020 to December 2021 were collected and randomly divided into control group and observation group with 45 patients in each group.The control group was treated with high virtual thread drainage and hip bath by potassium permanganate.The observation group was treated with decompression drainage and hip bath by Qingre Shengji Lotion.The recovery of hospitalization,anal function and improvement of inflammatory factors were compared between the two groups.Results The duration of pain,time of wound edema,time of exudation and absorption,time of wound healing and hospital stay in the observation group were significantly shorter than those in the control group(P<0.05).The level of 5-hydroxytryptamine,highly sensitive C-reactive protein,tumor necrosis factor-α,interleukin-1βand interleukin-6 at 14 days after operation in the observation group was significantly lower than that in the control group(P<0.05).The anal resting pressure and anal maximum systolic pressure in the observation group were significantly higher than those in the control group at 1 month and 2 months after operation(P<0.05).Conclusion Decompression and drainage combined with hip bath of Qingre Shengji Lotion can promote the symptom relief of HPA patients,reduce the level of inflammatory factors,and have less impact on anal function,which is worthy of clinical promotion.
作者
牟得军
MU Dejun(Department of Critical Medicine,Lintao County Hospital of Traditional Chinese Medicine,Dingxi 730500,Gansu Province,China)
出处
《中国实用乡村医生杂志》
2022年第12期62-65,共4页
Chinese Practical Journal of Rural Doctor
关键词
肛周脓肿
高位
减压
挂线
引流
坐浴
清热生肌洗剂
Perianal Abscess
High Position
Decompression
Hanging Line
Drainage
Hip Bath
Qingre Shengji Lotion
