摘要
目的:探讨对老年肛周脓肿患者采用放射状多切口挂浮线引流术的效果。方法:选取2021年2月—2022年2月南平市第一医院收治的100例老年肛周脓肿患者作为研究对象,按照随机数表法分对照组和观察组,其中对照组患者48例,给予多切口引流术治疗,观察组患者52例,给予放射状多切口挂浮线引流术治疗。观察两组患者的临床疗效、疼痛程度、肛门功能、炎症因子。结果:观察组患者总有效率(98.08%)高于对照组(85.42%),差异有统计学意义(P<0.05);观察组患者术后3 d、术后1周、术后3周疼痛模拟评分(VAS评分)均较对照组低,差异有统计学意义(P<0.05);比较,术后两组患者Wexner评分较术前降低,且观察组评分低于对照组,差异有统计学意义(P<0.05);术后两组患者肿瘤坏死因子-α(TNF-α)、白细胞介素4(IL-4)较术前降低,且观察组低于对照组,差异有统计学意义(P<0.05)。结论:对老年肛周脓肿患者采用放射状多切口挂浮线引流术能有效提高患者的临床疗效、缓解疼痛程度,改善肛门功能、降低炎症反应。
Objective:To explore the effect of using radial multi incision floating line drainage for elderly patients with perianal abscess.Method:A total of 100 elderly patients with perianal abscess from the First Hospital of Nanping City from February 2021 to February 2022 were selected as the study subjects.They were randomly divided into control group and observation group using a random number table method,with 48 patients in the control group and 52 patients in the observation group.They received separately multi incision drainage and radial multi incision floating line drainage,respectively.The clinical efficacy,degree of pain,anal function and inflammatory factors of two groups of patients were observed.Result:The total effective rate of the observation group was 98.08%,which was higher than 85.42%of the control group,and the difference was statistically significant(P<0.05).The VAS score of the observation group patients was lower than that of the control group 3 days,1 week,and 3 weeks after surgery,and the difference was statistically significant(P<0.05).After surgery,the Wexner scores of the two groups of patients were less than those before surgery,and the observation group had lower scores than the control group,with a statistically significant difference(P<0.05).After operation,TNF-αand IL-4 were decreased in both groups,and the observation group was lower than the control group,with a statistically significant difference(P<0.05).Conclusion:Using radial multi incision floating line drainage for elderly patients with perianal abscess can effectively improve clinical efficacy,alleviate pain,improve anal function,and reduce inflammatory response.
作者
曾凤荣
ZENG Fengrong(Nanping City first Hospital,Nanping 353601,China)
出处
《中外医学研究》
2024年第24期71-74,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
放射状多切口挂浮线引流术
多切口引流术
肛周脓肿
肛门功能
Radial multi incision floating line drainage surgery
Multi incision drainage surgery
Perianal abscess Anal function
