摘要
目的 探讨中药苦参汤加减熏洗与保留括约肌术结合治疗肛周脓肿的临床疗效。方法 本次研究对象为安阳市中医院肛肠科2022年3月—2023年3月收治的肛周脓肿患者100例,数字随机表法均分成两组,各50例,其中对照组实施保留括约肌术,观察组基于对照组加用中药苦参汤加减熏洗治疗,比较两组临床疗效、疼痛情况、创面愈合情况等。结果 观察组总有效率为96.00%,对照组为80.00%,差异有统计学意义(P<0.05);术后第1 d、3 d、5 d、7 d及14 d观察组VAS评分均明显低于对照组(P<0.05);两组术后第1 d症状体征评分差异比较均无统计学意义(P>0.05),术后第7 d两组切口分泌物、肛周水肿及肉芽组织评分均明显低于同组术后第1 d且观察组明显低于对照组(P<0.001);与对照组相比,观察组术后第14 d创面缩小率更高,脓液引流量更少且创面腐肉脱落与愈合时间更短(P<0.001);观察组并发症发生率为6.00%,对照组为16.00%,比较差异无统计学意义(P>0.05)。结论 在保留括约肌术式基础上增加中药苦参汤加减熏洗治疗肛周脓肿有显著的临床疗效,可快速有效改善两组临床症状与体征,减轻疼痛感与降低并发症发生风险,加快创面愈合速度,值得推广。
Objective To explore the clinical effect of Chinese herb Sophora Flavescens decoction combined with reducing fumigation and sphincter preservation in the treatment of perianal abscess.Methods A total of 100 patients with perianal abscess admitted to the Department of Anorectal, Anyang Traditional Chinese Medicine Hospital from March 2022 to March 2023 were randomly divided into two groups, with 50 cases in each group. The control group was treated with sphincter preservation surgery, and the observation group was treated with Chinese herb Sophora Flavescens decoction combined with reducing fumigation based on the control group. The clinical efficacy, pain and wound healing were compared between the two groups.Results The total effective rate was 96.00% in the observation group and 80.00% in the control group, and the difference was statistically significant(P<0.05). The VAS scores of the observation group were significantly lower than those of the control group at 1, 3, 5, 7 and 14 days after operation(P<0.05). There was no significant difference in the scores of symptoms and signs between the two groups on the first day after operation(P>0.05). The scores of incision secretion, perianal edema and granulation tissue on the seventh day after operation in the two groups were significantly lower than those of the first day after operation in the same group, and those in the observation group were significantly lower than those of the control group(P<0.001). Compared with the control group, the wound shrinkage rate of the observation group was higher on the 14th day after operation, the pus drainage volume was less, and the wound decaying flesh shedding and healing time were shorter(P<0.001). The incidence of complications was 6.00% in the observation group and 16.00% in the control group, and the difference was no statistically significant(P>0.05).Conclusion The treatment of perianal abscess with Chinese herb Sophora Flavescens decoction on the basis of sphincter-preserving surgery has significant clinical efficacy,
作者
张传举
苗爱峰
袁庆延
ZHANG Chuan-ju;MIAO Ai-feng;YUAN Qing-yan(Department of Proctology,Anyang Traditional Chinese Medicine Hospital,Anyang,Henan 455000,China)
出处
《医药论坛杂志》
2024年第3期319-323,共5页
Journal of Medical Forum
关键词
中药苦参汤
熏洗
保留括约肌术
肛周脓肿
Chinese herb Sophora Flavescens
Reducing fumigation
Sphincter-preserving surgery
Perianal abscess
