摘要
目的观察引流扩创术联合复方芩柏颗粒剂坐浴对艾滋病合并肛周脓肿的疗效。方法将收集的65例患者随机分为观察和对照组,观察组采用引流扩创术联合复方芩柏颗粒剂坐浴,对照组采用引流扩创术。观察术后的红肿面积、疼痛积分、创面渗液量和伤口愈合时间。结果观察组术后3 d[(4.70±0.68)πcm^(2)]及5 d[(2.62±0.50)πcm^(2)]红肿面积分别与对照组术后3 d[(5.36±0.86)πcm^(2)]及5 d[(2.96±0.60)πcm^(2)]比较,差异有统计学意义(P<0.05);观察组术后3 d[(24.27±0.86)mL]、5 d[(12.59±1.29)mL]、7 d[(9.35±2.34)mL]创面渗液量分别与对照组3 d[(25.23±1.55)mL]、5 d[(19.68±1.19)mL]、7 d[(14.53±1.13)mL]比较,差异有统计学意义(P<0.05);观察组创面愈合时间[(16.65±1.41)d]比对照组[(20.58±1.54)d]时间短,两组差异有统计学意义(P<0.05);两组术前疼痛积分无统计学差异,两组术后1 d、3 d均较术前疼痛明显减轻(P<0.05),组间比较差异无统计学意义(P>0.05)。结论引流扩创术联合复方芩柏颗粒剂坐浴能快速缓解临床疼痛症状,改善肛周脓肿局部炎症、减少创面渗出,促进创面恢复,临床实施简单,有利于降低医护人员职业暴露风险。
Objective To observe the therapeutic effect of drainage and debridement combined with sitting bath of compound Qinbai granules on AIDS patients with perianal abscess.Methods 65 patients were randomly divided into observation groups and control groups.The observation group was treated with drainage and debridement combined with a sitting bath of compound Qinbai granules,while the control group was treated with drainage and debridement.The areas of redness and swelling,pain score,amount of wound exudation,and wound healing time were observed.Results The area of redness and swelling in the observation group at three days[(4.70±0.68)πcm^(2)]and five days[(2.62±0.50)πcm^(2)]after operation appeared significantly different from that in the control group at day three[(5.36±0.86)πcm^(2)]and day five[(2.96±0.60)πcm^(2)](P<0.05).The amount of wound exudation in the observation group at day three[(24.27±0.86)mL],day five[(12.59±1.29)mL]and day seven[(9.35±2.34)mL]was significantly different from that in the control group at the corresponding days[(25.23±1.55)mL],[(19.68±1.19)mL]and[(14.53±1.13)mL],respectively,(P<0.05).The time of healing in the observation group[(16.65±1.41)d]was shorter than that in the control group[(20.58±1.54)d],and the difference between the two groups was statistically significant(P<0.05).There was no statistical difference between the two groups in the score of preoperative pain.The pain in the two groups was significantly reduced on the first day and the third day after the operation(P<0.05),but there was no statistical difference between the two groups(P>0.05).Conclusion Drainage and expansion combined with using the compound Qinbai granule sitting bath could quickly relieve pain,improving local inflammation of perianal abscess,reducing exudation of the wound surface,and promoting surface recovery of the wounds.Simple clinical implementation is conducive to reducing occupational exposure to medical care.
作者
胡银瑶
胡响当
彭天书
杨宗亮
HU Yinyao;HU Xiangdang;PENG Tianshu;YANG Zongliang(Changsha Hospital of Traditional Chinese medicine,Changsha 410100,China;The Second Affiliated Hospital of Hunan University of Traditional Chinese Medicine,Changsha 410005)
出处
《中国艾滋病性病》
CAS
CSCD
北大核心
2021年第7期748-750,共3页
Chinese Journal of Aids & STD
关键词
引流扩创术
复方芩柏颗粒剂
艾滋病
肛周脓肿
expanding wound and drainage
Compound qinbai granules
AIDS
perianal abscess
