摘要
目的探讨中药熏洗联合肛瘘挂线治疗肛瘘合并肛周脓肿患儿的应用效果。方法选取2021年6月至2023年6月赣州市妇幼保健院收治的70例肛瘘合并肛周脓肿患儿作为研究对象,采用随机数字表法将其分为对照组和观察组,每组各35例,对照组采用肛瘘挂线联合高锰酸钾溶液坐浴治疗,观察组采用肛瘘挂线联合中药熏洗治疗。比较两组患儿的黏膜愈合时间、创面完全愈合时间、住院时间、疼痛评分、肛周自控能力评分、中医证候积分、肛门功能、疗效、肛周脓肿及肛瘘复发率。结果观察组的黏膜愈合、创面完全愈合及住院时间均短于对照组,差异有统计学意义(P<0.05);观察组的疼痛及肛周自控能力评分均低于对照组,差异有统计学意义(P<0.05);观察组的肛周肿痛、便时剧痛及大便秘结积分均低于对照组,差异有统计学意义(P<0.05);观察组的肛门功能恢复优于对照组,总有效率(91.43%)高于对照组(71.43%),肛瘘复发率(8.57%)、肛周脓肿复发率(5.71%)均低于对照组(40.00%、31.43%),差异有统计学意义(P<0.05)。结论经中药熏洗联合肛瘘挂线治疗可有效促进肛瘘创面愈合,预防肛周脓肿及肛瘘复发,减轻患儿疼痛,促使肛门功能恢复,缩短住院时间,促进其病情转归,其效果确切,值得推广。
Objective To investigate the application effect of traditional Chinese medicine fumigation and washing combined with anal fistula seton in the treatment of children with anal fistula complicated with perianal abscess.Methods A total of 70 children with anal fistula complicated with perianal abscess treated in Ganzhou Women and Children's Health Care Hospital from June 2021 to June 2023 were selected as the research objects,and they were divided into control group and observation group by random number table method,with 35 cases in each group.The control group was treated with anal fistula seton combined with Potassium Permanganate Solution sitz bath,and the observation group was treated with anal fistula seton combined with traditional Chinese medicine fumigation and washing.The mucosal healing time,wound complete healing time,length of hospital stay,pain score,perianal self-control score,traditional Chinese medicine syndrome score,anal function,curative effect,perianal abscess and anal fistula recurrence rate were compared between the two groups.Results The mucosal healing,wound healing and hospitalization time of the observation group were shorter than those of the control group,and the differences were statistically significant(P<0.05).The pain and perianal self-control scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The scores of perianal swelling and pain,severe pain during defecation and constipation in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The anal function recovery of the observation group was better than that of the control group,the total effective rate(91.43%)was higher than that of the control group(71.43%),the anal fistula recurrence rate(8.57%)and perianal abscess recurrence rate(5.71%)were lower than those of the control group(40.00%,31.43%),and the differences were statistically significant(P<0.05).Conclusion Traditional Chinese
作者
舒芳
吴书清
曾珊
卢君
钟斌
SHU Fang;WU Shuqing;ZENG Shan;LU Jun;ZHONG Bin(Department of Pediatric Surgery,Ganzhou Women and Children's Health Care Hospital,Jiangxi Province,Ganzhou341000,China;Department of Neonatology,Ganzhou Women and Children's Health Care Hospital,Jiangxi Province,Ganzhou341000,China;Department of Traditional Chinese Medicine,Ganzhou Women and Children's Health Care Hospital,Jiangxi Province,Ganzhou341000,China)
出处
《中国当代医药》
CAS
2024年第16期77-81,共5页
China Modern Medicine
基金
江西省中医药管理局科技计划项目(2021B002)。
关键词
中药熏洗
肛瘘挂线
肛瘘
肛周脓肿
中医证候积分
疗效
Traditional Chinese medicine fumigation and washing
Anal fistula seton
Anal fistula
Perianal abscess
Traditional Chinese medicine syndrome score
Efficacy
