摘要
为探讨中药熏蒸在肛肠病术后创面治疗中的临床疗效,选取2015年6月至2016年7月于河南省濮阳市油田总医院肛肠科接受手术治疗的320例患者,将其随机分为治疗组和对照组,每组各160例。治疗组患者术后创面采用中药熏蒸治疗,对照组患者术后创面采用1:5 000高锰酸钾溶液坐浴治疗。观察比较2组患者在治愈率、创面疼痛、肛门坠胀消失时间、创面水肿消失时间、创面渗液消失时间、创面愈合时间方面的差异。结果显示,治疗组患者总有效率为9 8.75%(158/160),对照组患者总有效率为96.87%(155/160),差异无统计学意义(P>0.05);但治疗组92.50%(148/160)的治愈率高于对照组76.25%(122/160)的治愈率,P <0.05。治疗组在创面疼痛、肛门坠胀消失时间、创面水肿消失时间、创面渗液消失时间方面均明显优于对照组,差异有统计学意义(P<0.05);治疗组创面愈合时间为(18.5±0.4)d,明显短于对照组的(29.0±0.2) d.P <0.05。结果表明,中药熏蒸在肛肠病术后创面的治疗方面疗效确切,能有效改善术后各种临床症状,缩短创面愈合时间,减轻患者痛苦,且操作方便,安全性可靠。
To investigate the clinical effect of TCM fumigation and steaming method on postoperative wound-surface of anorectal disease, 320 cases who were admitted and received surgery in author＇s depart- ment（2015-06--2016-07） were enrolled in this study and randomly divided into treatment group （160 ca- ses,adopted TCM fumigation and steaming method） and control one（160 cases, 1 ： 5 000 PP solution in sitz bath） ;tben both group＇s curative rate, the disappearance time of wound-surface pain, edema, tenesmus and exudation as well as wound-surface healing time were compared and observed. As results, in the total effective rate there was no statistical difference between the two groups [98.75 % （158/160） vs 96.87 （155/160）] % but the curative rate of treatment group was higher than that of control onel-92.50% （148/ 160） vs 76.25 % （122/160）, P〈0.05] ;in the disappearance time of wound-surface pain, edema, tenesmus, and exudation treatment group was all significantly superior to control one, there was statistical difference between the two groups（ P 〈0.05）,its wound-surface healing time also shorten than that of control one [（18.5±0.4） d vs （29.0±0.2） d, P 〈0.05].Results show that TCM fumigation and steaming on postoper- ative wound-surface of anorectal disease has ceratain efficacy, can effectively improve postoperative symp- toms, shorten wound-surface healing time, reduce patient＇s pain, and its manipulation is easy, safe, feasible.
作者
闫守月
闫秋芳
陆莹莹
YAN Shou-yue;YAN Qiu-fang;LU Ying-ying(Coloproctological Dept,Oil-field General Hospital,Puyang,Henan 457001)
出处
《中国肛肠病杂志》
2018年第9期47-49,共3页
Chinese Journal of Coloproctology
关键词
肛肠疾病
术后
中药熏蒸
创面
Anorectal disease
Postoperation
TCM fumigation and steaming
Wound-surface
