益气清热法治疗肛瘘的临床意义探析
|
摘要
目的:观察益气清热法联合手术治疗肛瘘的疗效并评价其临床意义。方法:80例低位单纯性肛瘘切除术后患者,随机分为治疗组(40例)和对照组(40例),两组患者均按肛瘘术后常规治疗,治疗组从术后第2d开始口服自拟双花黄芪汤,对照组无口服给药。疗程4周,治疗前后从术后疼痛、创面分泌物、创面愈合等方面观察两组的临床疗效。结果:治疗组总有效率为100%,优于对照组的总有效率85%(P<0.05)。且在改善术后疼痛、创面分泌物、创面愈合等方面,治疗组的疗效优于对照组(P<0.05)。结论:益气清热法联合手术治疗肛瘘能明显促进创面愈合;缩短愈合时间;减少疼痛、水肿、渗出等术后并发症,是促进肛瘘术后愈合的有效治疗方法。
Objective:To observe the curative effect and evaluate the clinical significance of Yiqi Qingre method combine surgery therapy in the treatment of anal fistula.Methods:Eighty patients with low-grade simple anal fistula were randomly divided into treatment group(40 cases) and control group(40 cases).Both groups were treated with anal fistula.The treatment group started from the second day after surgery.Oral self-made Shuanghua Huangqi decoction,no oral administration in the control group.The course of treatment was 4 weeks,and the clinical effects of the two groups were observed before and after treatment from postoperative pain,wound secretion,and wound healing.Results:The total effective rate of the treatment group was 100%,which was better than the total effective rate of the control group by 85%(P<0.05).In the improvement of postoperative pain,wound secretion,wound healing,the treatment group was better than the control group(P<0.05).Conclusion:Yiqiqingre combined with surgery for anal fistula can significantly promote wound healing.Shorten healing time.Reducing postoperative complications such as pain,edema,and exudation is an effective treatment for postoperative healing of anal fistula.
Objective:To observe the curative effect and evaluate the clinical significance of Yiqi Qingre method combine surgery therapy in the treatment of anal fistula.Methods:Eighty patients with low-grade simple anal fistula were randomly divided into treatment group(40 cases) and control group(40 cases).Both groups were treated with anal fistula.The treatment group started from the second day after surgery.Oral self-made Shuanghua Huangqi decoction,no oral administration in the control group.The course of treatment was 4 weeks,and the clinical effects of the two groups were observed before and after treatment from postoperative pain,wound secretion,and wound healing.Results:The total effective rate of the treatment group was 100%,which was better than the total effective rate of the control group by 85%(P<0.05).In the improvement of postoperative pain,wound secretion,wound healing,the treatment group was better than the control group(P<0.05).Conclusion:Yiqiqingre combined with surgery for anal fistula can significantly promote wound healing.Shorten healing time.Reducing postoperative complications such as pain,edema,and exudation is an effective treatment for postoperative healing of anal fistula.
引文
[1]李庆刚,张莉,于边芳,等.经括约肌间瘘管结扎术联合生物补片治疗经括约肌肛瘘的临床价值[J].临床和实验医学杂志,2016,15(1):64-66.
[2]赵兴明.内口结扎瘘管切除缝合术治疗低位肛瘘临床观察[J].结直肠肛门外科,2011,17(5):326-327.
[3]严辉.一次性根治术配合中药熏洗治疗肛周脓肿临床研究[J].中医学报,2014,29(5):656-658.
[4]郑春菊,王业皇.肛瘘术后创面愈合的中医学研究进展[J].世界中西医结合杂志,2014,9(2):207-209.
[5]郑筱萸.中药新药临床研究指导原则(试行)[M].北京:中国医药科技出版社,2002:285-289.
[6]黄淑霞,鞠秀波,刘丽娟等.肛瘘患者的护理体会[J].中国医药指南杂志,2015,13(27):246-247.
[7]应小小.肛瘘患者术后创面用五倍子汤熏洗坐浴的效果观察[J].护理学报杂志,2014,21(9):70-71.
[8]陈明宝,戚玉东,李方等.爱康肤银敷料治疗小儿肛周脓肿的疗效观[J].中国医药指南杂志,2015,13(15):185.
[9]Limongelli P,Brusciano L,del Genio G,et al.Marsupialization compared to open wound improves dressing chang and wound care management after fistulectomy for low transsphincteric anal fistula[J].Int J Colorectal Dis,2016,31(5):1081-1082
[10]丛继伟,周健.中药康复新液对肛瘘术后创面愈合临床效果观察及安全性评价[J].中华中医药学刊,2014,32(11):2809-2811.
[11]李伟,刘小芳.肛肠熏洗II号方在肛瘦术后的临床应用[J].华西医学,2016,31(1):116-118.
[12]吴玲,吴旭彤,姚昶,等.基于促血管生长的生肌玉红膏有效成分提取工艺的优化[J].江苏大学学报(医学版),2016,(2):180-184.
[2]赵兴明.内口结扎瘘管切除缝合术治疗低位肛瘘临床观察[J].结直肠肛门外科,2011,17(5):326-327.
[3]严辉.一次性根治术配合中药熏洗治疗肛周脓肿临床研究[J].中医学报,2014,29(5):656-658.
[4]郑春菊,王业皇.肛瘘术后创面愈合的中医学研究进展[J].世界中西医结合杂志,2014,9(2):207-209.
[5]郑筱萸.中药新药临床研究指导原则(试行)[M].北京:中国医药科技出版社,2002:285-289.
[6]黄淑霞,鞠秀波,刘丽娟等.肛瘘患者的护理体会[J].中国医药指南杂志,2015,13(27):246-247.
[7]应小小.肛瘘患者术后创面用五倍子汤熏洗坐浴的效果观察[J].护理学报杂志,2014,21(9):70-71.
[8]陈明宝,戚玉东,李方等.爱康肤银敷料治疗小儿肛周脓肿的疗效观[J].中国医药指南杂志,2015,13(15):185.
[9]Limongelli P,Brusciano L,del Genio G,et al.Marsupialization compared to open wound improves dressing chang and wound care management after fistulectomy for low transsphincteric anal fistula[J].Int J Colorectal Dis,2016,31(5):1081-1082
[10]丛继伟,周健.中药康复新液对肛瘘术后创面愈合临床效果观察及安全性评价[J].中华中医药学刊,2014,32(11):2809-2811.
[11]李伟,刘小芳.肛肠熏洗II号方在肛瘦术后的临床应用[J].华西医学,2016,31(1):116-118.
[12]吴玲,吴旭彤,姚昶,等.基于促血管生长的生肌玉红膏有效成分提取工艺的优化[J].江苏大学学报(医学版),2016,(2):180-184.