止痛如神汤加减坐浴联合藻酸盐敷料在肛瘘术后缓解疼痛及促进术口愈合的效果分析  

Clinical effect analysis of Zhitong Rushen Decoction sitting bath combined with alginate dressing in relieving pain and promoting postoperative healing after anal fistula

作　　者：曹子康 段文志 何建坤 吴惠婷 温婧华 CAO Zi-kang;DUAN Wen-zhi;HE Jian-kun(Department of anus,Zhongshan Hospital affiliated to Guangdong Medical University(Chen Xinghai Hospital,Zhongshan City),Guangdong 528415,China)

机构地区：[1]广东医科大学附属中山医院(中山市陈星海医院)肛肠科

出　　处：《中国处方药》2020年第1期127-128,共2页Journal of China Prescription Drug

基　　金：中山市科技计划项目（2016B1105）

摘　　要：目的分析止痛如神汤加减坐浴联合藻酸盐敷料在肛瘘术后缓解疼痛及促进术口愈合的临床效果;方法将2017年5月~2019年7月医院收治的80例肛瘘手术患者作为研究对象,根据手术先后顺序平均分为两组,分别纳入对照组(n=40)与联合组(n=40),其中,对照组患者用藻酸盐敷料换药,联合治疗组采取止痛如神汤加减坐浴与藻酸盐敷料联合治疗,比较两组患者相关指标、治疗总有效率和并发症例数。结果联合组患者疼痛缓解程度、症状消失时间优于对照组,治疗总有效率高于对照组,而各项并发症例数均少于对照组,差异均有统计学意义(P<0.05)。结论采用止痛如神汤加减坐浴与藻酸盐敷料联合治疗肛瘘术后患者,可缓解患者疼痛,加快患者恢复,降低并发症发生率。Objective To analyze the clinical effect of Zhitong Rushen Decoction combined with sit-down bath and alginate dressing in relieving pain and promoting postoperative healing after anal fistula.Methods In May 2017 to July 2019 hospital treated 80 cases of patients with anal fistula surgery(most)for the treatment of observation object,according to the operation sequence,on average,divided into two groups,respectively,into the control group(n=40)and the joint group(n=40),among them,the control group patients take the bandage alginate dressings(treatment),the joint treatment group Zhitong Rushen Decoction sitting bath with alginate dressings joint treatment,compared two groups of patients with relevant cases,the total effective rate of therapy and complications.Results The pain relief degree and symptom disappearance time of the combined group were better than that of the control group,and the total effective rate of treatment was higher than that of the control group.Conclusion In the treatment of anal fistula patients,the combined treatment of Zhitong Rushen Decoction sitting bath and alginate dressing,compared with the treatment of alone alginate dressing,has more obvious pain relief effect on patients,and can accelerate the recovery time of patients,reduce the incidence of complications,and the treatment effect is more ideal.

关 键 词：止痛如神汤 坐浴 藻酸盐敷料 肛瘘 

分 类 号：R266[医药卫生—中医外科学]