Ⅰ期根治术配合中药消肿促愈汤熏洗治疗肛周脓肿的疗效观察
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摘要
为了观察Ⅰ期根治术配合中药消肿促愈汤熏洗治疗肛周脓肿的临床疗效,选取甘肃省民勤县人民医院肛肠科2015年5月至2017年5月因肛周脓肿收治入院的患者105例,按照随机数字表法将其分为观察组和对照组。对照组52例患者采用Ⅰ期根治手术治疗,观察组53例患者在对照组基础上联合术后中药消肿促愈汤局部熏洗治疗。对比2组患者手术疗效、创口愈合时间及术后半年并发症发生情况。结果显示,观察组患者术后治疗总有效率为100.00%,对照组为82.69%,2组比较差异具有统计学意义(P<0.05);观察组创口愈合时间为(15.14±2.79)d,对照组为(19.73±5.81)d,2组比较差异具有统计学意义(P<0.05);观察组术后半年并发症及后遗症总发生率为1.89%,对照组为15.38%,2组比较差异具有统计学意义(P<0.05)。结果表明,Ⅰ期根治术配合中药消肿促愈汤熏洗治疗肛周脓肿可以促进创口愈合,降低并发症发生率,提高手术治疗效果,值得临床推广应用。
This study was to observe the clinical efficacy of primary radical operation combined with Chinese medicine decoction of detumescence and promoting healing for washing & fuming in the treatment of perianal abscess,selected 105 cases admitted and treated in dept, of coloproctology of Minqin county people's hospital of Gansu province from May 2015 to May 2017 due to perianal abscess,divided the 105 cases into observation group and control one according to random number table method. The control group of 52 cases was treated with primary radical operation,the observation group of 53 cases was with postoperative Chinese medicine decoction of detumescence and promoting healing for washing & fuming on the basis of the control group. The curative effect,wound healing time and incidence of postoperative complications in two groups were compared. As results,the postoperative total effective rate was 100% in the observation group and 82. 69% in the control group, there was statistical difference between the two groups( P <0.05); the wound healing time was(15.14±2.79) d in the observation group and(19.73±5.81) d in the control group,there was statistical difference between the two groups(P <0.05); the complications and sequelae total incidence of postoperative 6 months in the observation group was 1.89%,the control group was 15.38%, there was statistical difference between the two groups( P<0.05). The results show that primary radical operation combined with Chinese medicine decoction of detumescence and promoting healing for washing & fuming in the treatment of perianal abscess can promote the wound healing, decrease postoperative complications incidence and enhance the operation effect,which is worthy of clinical popularization application.
This study was to observe the clinical efficacy of primary radical operation combined with Chinese medicine decoction of detumescence and promoting healing for washing & fuming in the treatment of perianal abscess,selected 105 cases admitted and treated in dept, of coloproctology of Minqin county people's hospital of Gansu province from May 2015 to May 2017 due to perianal abscess,divided the 105 cases into observation group and control one according to random number table method. The control group of 52 cases was treated with primary radical operation,the observation group of 53 cases was with postoperative Chinese medicine decoction of detumescence and promoting healing for washing & fuming on the basis of the control group. The curative effect,wound healing time and incidence of postoperative complications in two groups were compared. As results,the postoperative total effective rate was 100% in the observation group and 82. 69% in the control group, there was statistical difference between the two groups( P <0.05); the wound healing time was(15.14±2.79) d in the observation group and(19.73±5.81) d in the control group,there was statistical difference between the two groups(P <0.05); the complications and sequelae total incidence of postoperative 6 months in the observation group was 1.89%,the control group was 15.38%, there was statistical difference between the two groups( P<0.05). The results show that primary radical operation combined with Chinese medicine decoction of detumescence and promoting healing for washing & fuming in the treatment of perianal abscess can promote the wound healing, decrease postoperative complications incidence and enhance the operation effect,which is worthy of clinical popularization application.
引文
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[2]张永锋.一期根治术及中药坐浴治疗肛周脓肿疗效观察[J].实用中医药杂志,2017,33(2):127-128.
[3]魏多刚,何学松,郎林,等.一期根治术治疗肛周脓肿临床疗效观察[J].中日友好医院学报,2017,31(1):34-35,39.
[4]曹亿峰.一期根治术对肛周脓肿的疗效观察[J].临床医学研究与实践,2017,2(1):45-46.
[5]刘菁,贾宾,李建霞,等.微创挂线术与一期根治术治疗直肠肛周脓肿的疗效比较[J].结直肠肛门外科,2016,22(5):471-474.
[6]刘宇,任粉妮.改良一期根治术对肛周脓肿的治疗意义探究[J].中国处方药,2016,14(12):128-129.
[7]寇强,刘佐林,敖英.一期根治术结合中药苦参汤加减熏洗治疗后马蹄形肛周脓肿的临床观察[J].四川中医,2012,30(8):89-91.
[8]祁卫华.对行一期根治术的肛周脓肿患者进行术后中药熏洗坐浴治疗的效果分析[J].当代医药论丛,2016,14(13):145-146.
[9]孙建新.肛周脓肿的一期根治术及术后中医辩证分期换药法促进伤口早期愈合的效果观察[J].齐齐哈尔医学院学报,2014,35(7):1019-1020.