中西医结合治疗复杂性肛瘘的临床效果及预后  被引量:17

Clinical effect and prognosis of integrated Chinese and Western medicine in the treatment of complex anal fistula

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作  者:刘秋江[1] 谢翔宇[1] 林康泉[1] 林明惠[1] 叶海荣[1] 

机构地区:[1]福建中医药大学附属泉州市中医院肛肠科,福建泉州362000

出  处:《中国医药导报》2015年第36期133-136,共4页China Medical Herald

基  金:福建省中医药科研课题(wzfg201301);福建中医药大学临床类校管科研课题(XB2013056)

摘  要:目的 探究挂线手术结合中药超声雾化熏洗法治疗复杂性肛瘘的临床效果及预后。方法 选取2014年8月-2015年7月福建中医药大学附属泉州市中医院收治的肛瘘患者100例为研究对象,并采用随机数字表法将其分为对照组及实验组,各50例。利用挂线手术对两组进行治疗,实验组术后利用自拟痔瘘外洗方每日进行超声雾化熏洗,共计14 d;对照组术后仅利用温清水进行常规的清洗。结果 治疗后对照组有效率为78.0%,实验组有效率为98.0%,两组比较差异有高度统计学意义(P〈0.01)。实验组和对照组治疗后直肠静息压(RRP)[(2.36±0.23)、(2.37±0.25)k Pa]及肛管静息压(ARP)[(13.72±0.49)、(13.84±0.53)k Pa]值均较治疗前[(3.68±0.22)、(3.62±0.19)k Pa;(16.47±0.61)、(16.54±0.58)k Pa]显著下降(P〈0.01),但两组治疗后比较差异无统计学意义(P〉0.05),两组肛管最大收缩压(AMCP)及肛管最长收缩时间(ALCT)值治疗前后组内及组间比较差异均无统计学意义(P〉0.05)。实验组、对照组术后14 d疼痛评分分别为(1.02±0.18)、(1.96±0.20)分,显著低于术后1 d[(8.78±0.24)、(8.81±0.21)分](P〈0.01),且实验组术后14 d疼痛评分明显低于对照组(P〈0.01)。实验组术后并发症发生率为2.0%,对照组为30.0%,实验组的并发症发生率明显低于对照组,差异有高度统计学意义(P〈0.01)。结论 中西医结合治疗肛瘘能够大大提高疗效,保持括约肌的完整性,且疼痛小,安全性高。Objective To explore the clinical effect and prognosis of thread-drawing operation combined with fumigation of ultrasonic atomization with traditional Chinese medicine in the treatment of complex anal fistula. Methods One hundred cases of patients with anal fistula admitted to Quanzhou Hospital of Traditional Chinese Medicine Affiliated to Fujian University of Traditional Chinese Medicine from August 2014 to July 2015 were selected as research objects, and they were divided into control group and experimental group by random number table method, with 50 cases in each group. Both groups were taken thread-drawing operation. After operation, the experimental group was taken fumigation of ultrasonic atomization with self-made Zhilou Washout Prescription every day, total for 14 d; after operation, the control group only used warm water to carry out the routine cleaning. Results After treatment, the effective rate of control group was 78.0%, which of experimental group was 98.0%, the difference between the two groups was highly statistically siignificant (P 〈 0.01). After treatment, rectal rest pressure (RRP) [(2.36±0.23), (2.37± 0.25) kPa] and anal canal rest pressure (ARP) [(13.72±0.49), (13.84±0.53) kPa] of experimental group and control group were all significantly decreased compared with those before treatment [(3.68±0.22), (3.62±0.19) kPa; (16.47±0.61), (16.54±0.58) kPa] (P 〈 0.01), while there were no statistically significant differences between the two groups after treatment (P 〉 0.05). There were no statistically significant differences of anal maximal contraction pressure (AMCP) and anal longest contraction time (ALCT) before and after treatment within the two groups and between the two groups (P 〉 0.05). The pain scores after operation for 14 d in the experimental group and control group were (1.02±0.18), (1.96±0.20) points respectively, which were significantly lower than those 1 d after operation [(8.78±0.24), �

关 键 词:复杂性肛瘘 超声雾化熏洗法 中药 挂线手术 

分 类 号:R657.16[医药卫生—外科学]

 

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