摘要
目的探讨肛周脓肿一期根治术后患者采用中药熏洗坐浴治疗的临床效果.方法选择该院2019年1月—2020年12月收治的60例肛周脓肿一期根治术后患者为研究对象,以随机数字表法分为两组,对照组(n=30)采用高锰酸钾溶液坐浴治疗,观察组(n=30)采用中药熏洗坐浴治疗.对比两组患者临床疗效、症状改善时间、创面愈合时间、治疗前后血清炎症因子水平.结果观察组愈显率83.33%高于对照组的60.00%,差异有统计学意义(P<0.05).观察组水肿、疼痛坠胀、渗液、排尿困难改善时间及创面愈合时间分别为(6.57±1.74)、(7.12±2.53)、(6.30±2.04)、(4.22±1.76)、(15.24±3.13)d,均短于对照组,差异有统计学意义(P<0.05).观察组治疗后C反应蛋白、肿瘤坏死因子-α及白细胞介素-6水平分别为(1.54±0.43)mg/L、(20.48±3.20)pg/mL、(15.17±2.20)pg/mL,均低于对照组,差异有统计学意义(P<0.05).结论临床针对肛周脓肿一期根治术后患者实施中药熏洗坐浴治疗,能够提高临床疗效,改善患者症状,减轻机体炎症反应,有利于促进患者康复.
Objective To investigate the clinical effect of traditional Chinese medicine fumigation and sitz bath in patients with perianal abscess after one-stage radical resection.Methods A total of 60 patients with perianal abscesses after one-stage radical resection who were treated in the hospital from January 2019 to December 2020 were selected as the research objects,and were divided into two group by random number table method,the control group(n=30)was treated with a sitz bath with potassium permanganate solution,and the observation group(n=30)was treated with a traditional Chinese medicine fumigation and sitz bath.The clinical efficacy,symptom improvement time,wound healing time,and serum inflammatory factor levels before and after treatment were compared between the two groups.Results The curative and markedly effective rate in the observation group was 83.33%,which was higher than 60.00%in the control group,and the difference was statistically significant(P<0.05).The improvement time of edema,pain and swelling,exudation and dysuria and wound healing time in the observation group were(6.57±1.74)d,(7.12±2.53)d,(6.30±2.04)d,(4.22±1.76)d,(15.24±3.13)d,which were shorter than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the levels of C-reactive protein,tumor necrosis factor-αand interleukin-6 in the observation group were(1.54±0.43)mg/L,(20.48±3.20)pg/mL,(15.17±2.20)pg/mL,respectively,which were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The clinical application of traditional Chinese medicine fumigation and sitz bath treatment for patients with perianal abscess after one-stage radical resection can improve the clinical efficacy,improve the symptoms of patients,reduce the inflammatory response of the body,and promote the recovery of patients.
作者
李娟
LI Juan(Department of Anorectal,Lianshui County Hospital of Traditional Chinese Medicine,Lianshui Jiangsu,223400,China)
出处
《反射疗法与康复医学》
2021年第19期16-19,共4页
Reflexology And Rehabilitation Medicine
关键词
肛周脓肿
一期根治术
中药熏洗坐浴
高锰酸钾坐浴
疗效
Perianal abscess
One-Stage radical operation
Traditional Chinese medicine fumigation sitz bath
Potassium permanganate sitz bath
Efficacy
作者简介
李娟(1982-),女,江苏涟水人,本科,主治医师,研究方向:中医治疗肛肠疾病。
