摘要
目的:探讨肛周脓肿术后患者中医体质类型分布及其与术后创面愈合的相关性,以期为肛周脓肿术后患者的预后评估提供理论依据,对促进其术后创面愈合的治疗方案提供新的思路。方法:325例肛周脓肿患者根据创面愈合情况分为愈合良好组(n=157)和不良组(n=168),收集患者基本信息,根据《中医体质分类与判定表》判定患者术后体质类型,分析中医体质与创面愈合的相关性。结果:肛周脓肿术后患者中医体质以平和质、痰湿质为主,阳虚质、湿热质次之。创面愈合质量与痰湿质、阳虚质具有显著相关性(P<0.05),平和质是创面愈合不良的保护因素,痰湿质、阳虚质、湿热质、气虚质是创面愈合不良的危险因素,合并肛瘘及脓肿涉及多个象限是创面愈合不良的独立危险因素。结论:痰湿质、阳虚质等偏颇体质与创面愈合不良密切相关,术后调理体质可能有助于创面愈合。
Objective:To investigate the distribution of TCM body constitution in patients with perianal abscess and its correlation with postoperative wound healing,in order to provide a theory basis for the postoperative prognosis evaluation of patients with perianal abscess,and new ideas for therapeutic method for postoperative wound healing.Methods:A total of 325 patients with perianal abscess were divided into a good healing group(n=157)and a poor healing group(n=168)according to whether the wound healed well.The basic information of the patients was collected,and the postoperative body constitution type of the patients was determined according to the Traditional Chinese Medicine Constitution Classification and Determination Table,and then the correlation between TCM body constitution and wound healing was analyzed.Results:The main TCM body constitutions of postoperative patients with perianal abscess were the neutral constitution and Phlegm-Dampness constitution,followed by Yang deficiency constitution and Damp-Heat constitution.The quality of wound healing was significantly correlated with Phlegm-Dampness constitution and Yang deficiency constitution(P<0.05).The neutral constitution was the protective factor for poor wound healing,while the Phlegm-Dampness constitution,Yang deficiency constitution,Damp-Heat constitution and Qi deficiency constitution were risk factors for poor wound healing.In addition,complications such as anal fistula and abscess involving multiple quadrants were independent risk factors for poor wound healing.Conclusion:The imbalanced constitution such as Phlegm-Dampness constitution and Yang deficiency constitution is closely related to poor wound healing,and postoperative conditioning of constitution may be helpful for wound healing.
作者
张梦梦
徐新树
陈若冰
张双喜
ZHANG Mengmeng;XU Xinshu;CHEN Ruobing;ZHANG Shuangxi(Anorectal Department of the First Affiliated Hospital to Henan University of Chinese Medicine,Zhengzhou Henan China 450000;The First Clinical Medical College of Henan University of Chinese Medicine,Zhengzhou Henan China 450000)
出处
《中医学报》
CAS
2024年第8期1781-1786,共6页
Acta Chinese Medicine
基金
国家中医药传承创新中心科研专项计划项目(2023ZXZX1088)
国家中医临床研究基地科研专项计划项目(2021JDZX2093)
河南省科技攻关计划项目(232102311221)。
关键词
肛周脓肿
创面愈合
中医体质
平和质
痰湿质
阳虚质
湿热质
气虚质
perianal abscess
wound healing
TCM body constitution
neutral constitution
Phlegm-Dampness constitution
Yang deficiency constitution
Damp-Heat constitution
Qi deficiency constitution
