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肛周脓肿切开挂线引流并术后中药坐浴疗效探讨 被引量:4

Therapeutic Effect of Incision and Drainage of Perianal Abscess and Postoperative Chinese Medicine Bath
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摘要 目的针对肛周脓肿的患者采取切开挂线引流术后辅助中药坐浴的效果价值。方法该次研究病例搜集时间范围为2015年1月—2018年12月,选取上述时段内所在科室收治的肛周脓肿患者80例作为基础性研究资料,以不同治疗方案平均分为2组,对照组40例采取切开引流,治疗组40例在切开挂线引流的同时辅以中药坐浴,采用治疗总有效率、创面愈合情况、不同时间段创面面积缩小情况等作为判断治疗效果的指标。结果治疗组总有效率92.5%显著高于对照组72.5%,差异有统计学意义(χ^2=5.541,P<0.05)。观察组术后疼痛评分为(5.3±1.5)分,创面愈合时间为(12.2±1.7)d,腐肉脱落时间为(4.3±1.3)d,对照组分别为(7.1±1.8)分,(16.6±1.5)d,(6.1±1.8)d,差异有统计学意义(t=4.858,12,274,5.127,P<0.05)。结论针对肛周脓肿的患者采取切开挂线引流术的患者,在术后辅以中药坐浴可显著缩短恢复的时间,创面愈合较好,显著降低患者疼痛程度,应用价值较高。 Objective To evaluate the value of adjuvant Chinese herbal medicine bath in patients with perianal abscess after incision and drainage. Methods The time collection period of this study was from January 2015 to December 2018. 80 patients with perianal abscess admitted to the department in the above period were selected as the basic research data. The average treatment was divided into 2 groups according to different treatment options. 40 patients in the control group were treated with incision and drainage. In the treatment group, 40 patients were treated with traditional Chinese medicine bathing while incision and drainage. The total effective rate, wound healing and wound area reduction at different time periods were used as indicators to judge the therapeutic effect. Results The total effective rate of the treatment group was 92.5% significantly higher than that of the control group 72.5%, the difference was statistically significant(χ^2=5.541, P<0.05). The postoperative pain score of the observation group was (5.3±1.5) points, the wound healing time was (12.2±1.7) d, the carrion shedding time was (4.3±1.3) d, and the control group was (7.1±1.8)points,(16.6±1.5) d,(6.1±1.8) d, the difference was statistically significant (t=4.858, 12.274, 5.127, P<0.05). Conclusion For patients with perianal abscess, the patients who underwent open-line drainage can significantly shorten the recovery time after surgery, and the wound healing is better, which significantly reduces the pain level of patients and has higher application value.
作者 谢林 沈洪明 XIE Lin;SHEN Hong-ming(Department of Anorectal Surgery, Liyang Traditional Chinese Medicine Hospital, Liyang, Jiangsu Province, 213300 China)
出处 《世界复合医学》 2019年第7期126-128,共3页 World Journal of Complex Medicine
关键词 肛周脓肿 切开挂线引流 中药坐浴 创面愈合 疼痛 Perianal abscess Incision and drainage Traditional Chinese medicine bath Wound healing Pain
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