摘要
目的:观察苦参汤加味熏蒸治疗高位复杂性肛瘘术后患者的康复效果。方法:将100例高位肛瘘术后患者,按数字表法随机分为对照组和观察组,各50例。对照组采用切开挂线法或切开引流手术方式,术后给予左氧氟沙星氯化钠注射液静脉滴注,局部以高锰酸钾液熏洗,并给予综合护理干预;观察组手术治疗、药物治疗及护理措施同对照组,并联合苦参汤加味熏蒸治疗。2组疗程均为7天,观察比较2组术后1 d、3 d、7 d疼痛视觉模拟评分法(VAS)评分,术后1 d、7 d、14 d创面愈合情况;记录2组术后尿潴留发生率、便秘发生率和术后创口感染的发生率;出院时进行患者满意度评价。结果:经秩和检验,观察组临床疗效优于对照组,差异有统计学意义(P<0.05)。术后3 d、7 d,2组患者疼痛VAS评分均较前一时间点明显下降(P<0.05),且观察组各个时间点的VSA评分均低于对照组(P<0.05)。术后7 d、14 d,2组患者术后创面愈合评分均较前一时间点明显下降(P<0.05),且观察组各个时间点创面愈合评分均低于对照组(P<0.05)。观察组患者尿潴留、便秘和创口感染发生率分别为6.00%、8.00%、12.00%,对照组分别为20.00%、24.00%、28.00%,2组比较,差异均有统计学意义(P<0.05)。经秩和检验,观察组患者护理满意度优于对照组,差异有统计学意义(P<0.05)。结论:苦参汤加味熏蒸可减轻高位复杂性肛瘘术后疼痛,促进创面恢复,降低尿潴留、便秘和创口感染等并发症的发生率,提高临床疗效和护理满意度。
Objective:T o observe the rehabilitation effect of fumigation with modified Kushen tang on patients after surgery of high complex anal fistula. Methods:A total of 100 cases of patients undergoing surgery of high complex anal fistula were divided into the control group and the observation group according to the random number table method,50 cases in each group. The control group was treated by incision and thread drawing, or incision and drainage;after surgery, the control group was given levofloxacin hydrochloride and sodium chloride injection by intravenous drip,local fumigation with potassium permanganate solution,and comprehensive nursing intervention. The surgery,medication and nursing measures in the observation group were the same as those in the control group, and the observation group was additionally given fumigation with modified Kushen tang. Both groups were treated for seven days. On the 1st,3rd and 7th day after surgery,the scores of Visual Analogue Scale(VAS) in the two groups were observed and compared. On the 1st, 7th and 14th day after surgery,the wound healing in the two groups was observed and compared. The incidence of postoperative urinary retention,constipation,and wound infection was recorded. The satisfaction was evaluated when discharge. Results:The clinical effect in the observation group was better than that in the control group,the difference being significant(P<0.05). On the 3rd and 7th day after surgery,the VAS scores of pain in the two groups were significantly decreased when compared with those at the previous time point(P<0.05),and the score at each time point in the observation group was lower than that in the control group(P<0.05). On the 7th and 14th day after surgery, the scores of wound healing in the two groups were significantly decreased when compared with those at the previous time point(P<0.05), and the score at each time point in the observation group was lower than that in the control group(P<0.05). The incidence of urinary retention,constipation,and wound infection was 6.00%,8.00% and 12.00% respectively in the observation group,and 20.00%,24.00% and 28.00%respectively in the control group,differences being significant(P<0.05). The nursing satisfaction in the observation group was superior to that in the control group,the difference being significant(P<0.05). Conclusion:Fumigation with modified Kushen tang can reduce postoperative pain of high complex anal fistula,promote wound healing,decrease the incidence of urinary retention,constipation,and wound infection,and improve clinical effect and nursing satisfaction.
作者
丁建美
林胜红
申成功
DING Jianmei;LIN Shenghong;SHEN Chenggong
出处
《新中医》
CAS
2020年第21期158-161,共4页
New Chinese Medicine
关键词
高位复杂性肛瘘
术后康复
苦参汤加味
熏蒸
并发症
创面恢复
High complex anal fistula
Postoperative rehabilitation
Modified Kushen tang
Fumigation
Complications
Wound healing
