加味苦参汤熏洗联合红外线烤灯治疗对高位复杂性肛瘘术后患者创面愈合、肛门功能的影响
DOI:
CSTR:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

R657.1+6

基金项目:


Effect of Fumigation-Washing with Modified Kushen Decoction Combined with Infra⁃ red Hot Lamp on Wound Healing and Anal Function of Patients After Surgery for High Complex Anal Fistula
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:观察加味苦参汤熏洗联合红外线烤灯治疗对高位复杂性肛瘘术后患者创面愈合、肛门功能 的影响。方法:选取92 例行高位复杂性肛瘘术治疗的患者,按随机数字表法分为对照组和试验组各46 例。对 照组术后给予高锰酸钾熏洗联合红外线烤灯治疗,试验组术后给予加味苦参汤熏洗联合红外线烤灯治疗,2 组 均治疗2 周。比较2 组临床疗效、创面愈合情况、临床症状及疼痛评分、肛门功能。结果:治疗2 周,试验组 临床疗效总有效率100%,高于对照组86.96%,差异有统计学意义(P<0.05)。试验组创面愈合率高于对照 组,创面最大纵径、创面最大横径均小于对照组,创面渗液量少于对照组,差异均有统计学意义(P<0.05)。 治疗1 周,2 组出血、肉芽形态、创面渗液、视觉模拟评分法(VAS) 评分均较术后1 d 降低(P<0.05)。治 疗2 周,2 组出血、肉芽形态、创面渗液、VAS 评分均较治疗1 周降低(P<0.05)。试验组出血、肉芽形态、 创面渗液、VAS 评分均低于治疗后同期对照组(P<0.05)。治疗2 周,2 组肛管最大收缩压(AMCP) 均较术 前升高,肛管最长收缩时间(ALCT) 均较术前增加,Wexner 评分均较术前降低,差异均有统计学意义(P< 0.05);试验组AMCP 高于对照组,ALCT 长于对照组,Wexner 评分低于对照组,差异均有统计学意义(P< 0.05)。结论:加味苦参汤熏洗联合红外线烤灯治疗高位复杂性肛瘘术后患者,可促进其创面愈合,改善临床 症状及肛门功能。

    Abstract:

    Abstract: Objective: To observe the effect of fumigation- washing with modified Kushen Decoction combined with infrared hot lamp on wound healing and anal function of patients after surgery for high complex anal fistula. Methods: A total of 92 patients after surgery for high complex anal fistula were selected and divided into the control group and the trial group,with 46 cases in each group. After surgery, the control group was treated with fumigation- washing with Potassium Permanganate Solution combined with infrared hot lamp, and the trial group was treated with fumigation- washing with modified Kushen Decoction combined with infrared hot lamp. Both groups were treated for 2 weeks. The clinical effects, wound healing,scores of clinical symptoms and pain,and anal function were compared between the two groups. Results:After 2 weeks of treatment,the total clinical effective rate was 100% in the trial group, higher than that of 86.96% in the control group, the difference being significant (P<0.05). The wound healing rate in the trial group was higher than that in the control group, the maximum vertical and transverse diameters of wound were shorter than those in the control group,and wound drainage amount was less than that in the control group,differences being significant (P<0.05). After 1 week of treatment, the scores of bleeding,granulation morphology,wound drainage and Visual Analogue Scale (VAS) in the two groups were decreased when compared with those after 1 day of operation (P<0.05). After 2 weeks of treatment, the above 4 scores in both groups were decreased when compared those after 1 week of treatment (P<0.05). The above 4 scores in the trial group at the same period after treatment were lower than those in the control group (P<0.05). After 2 weeks of treatment, the anal maximum contraction pressure (AMCP) in both groups was increased when compared with that before surgery,the anal longest contraction time (ALCT) was increased when compared with that before surgery, and the Wexner score was decreased when compared with that before surgery, differences being significant (P<0.05); the ACMP in the trial group was higher than that in the control group, the ALCT was longer than that in the control group,and the Wexner score was lower than that in the control group,differences being significant (P<0.05). Conclusion: The fumigation- washing with modified Kushen Decoction combined with infrared hot lamp can promote the recovery of wound healing of patients after surgery for high complex anal fistula, and improve the clinical symptoms and anal function.

    参考文献
    相似文献
    引证文献
引用本文

章波,林恒军,邱学科,张继超.加味苦参汤熏洗联合红外线烤灯治疗对高位复杂性肛瘘术后患者创面愈合、肛门功能的影响[J].新中医,2023,55(12):6-10

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2023-06-27
  • 出版日期:
文章二维码