拖线垫棉疗法治疗低位复杂性肛瘘的临床观察  

A Clinical Study on the Effect of Thread-dragging and Pad-pressure Therapy in the Treatment of Low-complex Anal Fistula

作　　者：俞婷[1] 曹永清[1] 

机构地区：[1]上海中医药大学附属龙华医院,上海200032

出　　处：《中国中医急症》2017年第1期132-135,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：上海市市级医院适宜技术项目(SHDC12014239);隧道式拖线垫棉疗法治疗复杂性肛瘘推广应用研究(SHDC12014239)

摘　　要：目的观察拖线垫棉疗法在治疗低位复杂性肛瘘中疗效和安全性指标。方法选取符合纳入标准的住院手术患者60名,按随机数字表法分为治疗组和对照组各30名。治疗组予拖线垫棉疗法,对照组予直接切开引流术,从疗效评价指标、安全性评价指标、卫生经济学指标及制作病例观察表等方面来进行对比分析,客观评价该疗法的有效性和安全性。结果 1)术后疼痛:两组之间手术当天,术后第1、10、14天时疼痛情况相当(P>0.05),第7天时治疗组优于对照组(P<0.05)。2)术后渗出物:两组之间手术当天,术后第1天时渗出物情况相当(P>0.05),第7、10、14天时治疗组优于对照组(P<0.05)。3)肛门功能评估:两组之间术后创面愈合时及创面愈合后6月的肛门功能评估情况均无统计学意义(P>0.05)。4)卫生经济学指标:两组之间在总住院费用、住院天数及治愈时间上治疗组优于对照组(P<0.05)。结论拖线垫棉疗法治疗低位复杂性肛瘘在术后疼痛、术后渗出物量、总住院费用、住院天数及治愈时间方面优于切开法。拖线垫棉疗法治疗低位复杂性肛瘘具有有效、安全的优势,是临床上值得推荐使用的一种手术方法。Objective： To observe the effect of thread-dragging and pad -pressure therapy in the treatment of low-complex anal fistula and safety of the therapy. Methods： With random and controlled clinical trials, 60 hospitalized patients who met the inclusive criteria were selected and randomly distributed to the treatment group and the control group. The treatment group which has 30 patients used thread-dragging and pad pressure therapy, meanwhile ,the control group which has 30 patients used incision method. The outcome assessments indexes, the safety evaluation,health economics indexes and observation table were comparatively analyzed in order to objectively evaluate the efficacy and safety of the therapy. Results： 1 ）About the pain score after surgery： the scores on the day of surgery ,and 1^st, 10^th, 14^th day showed no statistical difference between the two groups ,but the treatment group was better than the control group on the 7^th day （P 〈 0.05）. 2）About the exudation score after surgery： the scores on the day of surgery,and the scores on the 1st day showed no statistical difference between the two groups,but the treatment group was better than the control group on the 7^th, 10^th, 14^th day （P〈 0.05）. 3）About the anal functional assessment score： the scores on wound healing time after surgery and in 6 months after wound healing all showed no statistical difference between the two groups （P〉 0.05）. 4）About the health economic indicators： the treatment group was better than the control group on the costs and the days in hospital and the treatment group was also better than the control group on the cure time （P〈 0.05）. Conclusion： The therapy of thread-dragging and pad-pressure in the treatment of low-complex anal fistula is better than incision method in terms of pain, exudation , the costs and the days in hospital and the cure time after surgery. All in all,the therapy of thread-dragging and pad-pressure in the treatment of low-complex anal fistula is effective and

关 键 词：肛瘘 拖线 垫棉 

分 类 号：R266[医药卫生—中医外科学]