摘要
目的探讨早、中、后3期中药汤剂纱条序贯换药对低位单纯性肛瘘术后创面愈合的影响。方法分层抽样法选取2018年1月—2020年1月安徽省六安市中医院118例低位单纯性肛瘘手术患者,采用随机数字表法分为两组,各59例。对照组术后采用凡士林油换药,研究组术后采用早、中、后3期中药汤剂纱条序贯换药。比较两组治疗前后视觉模拟评分(VAS)、创面渗血评分、创面渗液评分及创面面积变化,并统计创面愈合率、创面愈合时间及术后创面相关并发症发生情况。结果整体分析发现:VAS、创面渗血及渗液积分的组间比较、时间点比较及交互作用差异均有统计学意义(P<0.05)。提示两组患者的术后创面渗血及渗液状况明显改善,且疼痛越来越轻。进一步两两比较,组内比较:术后1、2、3周,两组患者的VAS与治疗前相比均逐渐降低(P<0.05);组间比较:研究组术后1、2、3周的VAS明显低于对照组(P<0.05)。组内比较:术后1、2、3周,两组患者的创面渗血、渗液积分及创面面积与治疗前相比均逐渐降低或缩小(P<0.05);组间比较:研究组术后1、2、3周的创面渗血、渗液积分及创面面积均低于或小于对照组(P<0.05)。研究组术后3周创面愈合率高于对照组,创面愈合时间短于对照组(P<0.05)。研究组术后创面相关并发症发生率低于对照组(P<0.05)。结论低位单纯性肛瘘术后实施早、中、后3期中药汤剂纱条序贯换药可减轻疼痛程度,减少创面渗血、渗液,改善创面愈合效果,降低创面相关并发症发生风险。
Objective To investigate the effect of early,middle and late three stages of Chinese medicine decoction gauze sequential dressing change on wound healing after low simple anal fistula operation.Methods One hundred and eighteen patients with low simple anal fistula from January 2018 to January 2020 in Lu′an Hospital of Traditional Chinese Medicine of Anhui Province were selected by using stratified sampling method.They were divided into two groups by using random number table method,with 59 cases in each group.Control group was treated with Vaseline Oil,and study group was treated with gauze of traditional Chinese medicine decoction at early,middle and late three stages.Visual analogue scale(VAS),wound bleeding score,wound exudate score and wound area were compared between two groups before and after treatment,and the wound healing rate,wound healing time and postoperative wound related complications were counted.Results The overall analysis showed that there were significant differences in VAS,wound bleeding and exudate score between groups,time point comparison and interaction(P<0.05).It was suggested that the postoperative wound bleeding and exudation of two groups were significantly improved,and the pain became lighter and lighter.Further pairwise comparison,intra group comparison:VAS score of the patients in two groups decreased gradually compared with that before treatment in the first week,the second week and the third week after operation(P<0.05).Comparison between groups:VAS of study group at the first week,the second week and the third week after operation was significantly lower than that of control group(P<0.05).Intra group comparison:at the first week,the second week and the third week after operation,the wound bleeding,exudate integral and wound area of two groups were gradually reduced compared with those before treatment(P<0.05).Comparison between groups:the wound bleeding,exudation integral and wound area of study group at the first week,the second week and the third week after operation were lo
作者
刘阳
李先元
高玲
LIU Yang;LI Xianyuan;GAO Ling(Department of Anorectal,Lu′an Hospital of Traditional Chinese Medicine,Anhui Province,Lu′an237006,China)
出处
《中国医药导报》
CAS
2020年第22期131-135,共5页
China Medical Herald
关键词
低位单纯性肛瘘
手术
创面愈合效果
中药汤剂纱条序贯换药
Low simple anal fistula
Surgery
Wound healing effect
Chinese medicine decoction gauze sequential dressing change
