阿魏酸钠治疗肛周脓肿术后患者55例临床观察  

Sodium Ferulate Treat 55 Patients with Perianal Abscess after Surgery

作　　者：勾春宏[1] 

机构地区：[1]广元市中心医院肛肠科,四川广元628000

出　　处：《中国医药指南》2012年第19期57-58,共2页Guide of China Medicine

摘　　要：目的观察在常规治疗的基础采用阿魏酸钠治疗肛周脓肿术后患者的临床疗效。方法将符合病例入选标准的110例肛周脓肿患者随机分为观察组、对照组,每组55例。2组患者均行手术治疗,其中低位脓肿行一次性切开术,高位脓肿行一次性切开挂线术。术后均给予抗生素、温热水熏洗、坐浴等对症治疗。观察组于术后第5天同时给予阿魏酸钠,0.2g+生理盐水250mL,静脉滴注,每日1次,连用15天。结果观察组治愈率为69.09%,总有效率为94.55%;对照组治愈率为36.36%,总有效率为80.00%。2组治愈率、总有效率相比有明显差异(P<0.05)。脓肿复发率、假性愈合率、创面愈合时间、术后肛瘘形成情况及住院时间等观察指标2组相比差异有统计学意义(P<0.05)。结论在常规治疗的基础采用阿魏酸钠治疗肛周脓肿术后患者临床疗效显著。Objective To observe the in addition to conventional treatment with sodium ferulate in treating perianal abscess patients after clinical curative effect. Methods A case in 110 eases ofperianal abscess patients were randomly divided into the observation group and the control group, 55 cases in each group. Two groups of patients were treated with surgical operation, in which the low abscess incision lines, lines with high abscess incision and thread- drawing. Postoperative were given antibiotics, warm water washing, bath and other symptomatic treatment. The observation group on postoperative day fifth while giving sodium ferulate, 0.2g ＋ saline 250mL, intravenous infusion, daily 1 times, once every 15 days. ResuitsI In the study group, the cure rate is 69.09%, the total effective rate was 94.55%; th~ control group, the cure rate is 36.36%, the total effective rate was 80%. The 2 group cure rate, the total efficiency compared with the obvious differences （P〈0.05） . Abscess recurrence rate, false healing rate, wound heating time, postoperative anal fistula formation and hospitalization time observation index in group 2 compared the difference was statistically significant （P〈0.05） . Conclusion In addition to conventional treatment with sodium ferulate in treating perianal abscess patients with postoperative clinical observation.

关 键 词：肛周脓肿 术后 阿魏酸钠 

分 类 号：R657.15[医药卫生—外科学]