摘要
目的探讨自拟熏洗汤坐浴治疗肛肠手术术后肛缘水肿及疼痛的效果。方法将2016年2月至2017年12月在我院接受肛肠手术的98例患者随机分为联合组和对照组,各49例。两组均实行基础治疗,联合组加用自拟熏洗汤坐浴治疗,对比联合组和对照组治疗不同时间创面面积、肉芽组织生长评分、创面愈合时间、疼痛评分及肛缘水肿评分。结果与术后即刻比较,两组患者术后14 d创面面积均缩小,且联合组小于对照组(P<0.05)。与术后3 d比较,两组患者术后14 d肉芽组织生长评分均明显降低,且联合组低于对照组(P<0.05)。联合组和对照组患者创面愈合时间分别为(26.37±4.31)、(36.54±5.84) d,联合组显著短于对照组(P<0.05)。与术后即刻比较,两组患者术后3、7 d疼痛、肛缘水肿评分均降低,且联合组低于对照组(P<0.05)。结论自拟熏洗汤坐浴治疗肛肠手术术后肛缘水肿及疼痛疗效显著,可以促进肉芽组织生长,减轻肛缘水肿及疼痛程度,促进创面的愈合,值得临床推广。
Objective To explore the effect of self-made fumigation decoction with sitting bathing in the treatment of anal border edema and pain after anorectal surgery. Methods A total of 98 patients treated with anorectal surgery in our hospital from February 2016 to December 2017 were randomly divided into combined group and control group, with 49 cases in each group. Both groups were given basic treatment, and the combined group was treated with self-made fumigation decoction with sitting bathing treatment in addition. The wound area, scores of granulation tissue growth, the wound healing time, pain scores and anal border edema scores were compared between the combined group and the control group at different time. Results Compared with immediately after surgery, the wound area at 14 days postoperatively reduced in both groups, and that in the combined group was smaller than the control group（P〈0.05）. Compared with 3 days postoperatively, the scores of granulation tissue growth at 14 days postoperatively significantly decreased in both groups,and that in the combined group was lower than the control group（P〈0.05）. The wound healing time in the combined group and the control group was（26.37 ±4.31） and（36.54 ±5.84） days respectively, and which in the combined group was significant shorter than the control group（P〈0.05）. Compared with immediately after surgery, the scores of pain and anal border edema at 3 and 7 days after surgery in the two groups decreased, and those in the combined group were lower than the control group（P〈0.05）. Conclusion The self-made fumigation decoction with sitting bathing has a significant effect in the treatment of anal border edema and pain after anorectal surgery, it can promote the growth of granulation tissue, reduce the degree of edema and pain of anal border and promote the wound healing. It is worthy of clinical promotion.
作者
张彦军
ZHANG Yan-jun(the People＇s Hospital of Baota Distract,Yan＇an 716000,China)
出处
《临床医学研究与实践》
2018年第30期139-141,共3页
Clinical Research and Practice
关键词
熏洗汤
坐浴
肛肠手术
肛缘水肿及疼痛
肉芽组织生长
fumigation decoction
sitting bathing
anorectal surgery
anal border edema and pain
granulation tissue growth
