祛腐生肌方坐浴结合艾灸对肛瘘术后疼痛、创面愈合及肛肠动力学的影响  

Effect of Sitz Bath with Removing Slough and Promoting Growth of Tissue Regeneration Recipe Combined with Moxibustion for Postoperative Pain,Wound Healing and Anorectal Dynamics after Anal Fistula Operation

作　　者：杨元红[1] 张亚峰[1] 刘晰[1] 陈伟[1] YANG Yuanhong;ZHANG Yafeng;LIU Xi(Department of Anorectal Diseases,Suining Central Hospital,Suining Sichuan 629000,China)

机构地区：[1]遂宁市中心医院肛肠科,四川遂宁629000

出　　处：《四川中医》2020年第9期168-171,共4页Journal of Sichuan of Traditional Chinese Medicine

摘　　要：目的:观察祛腐生肌方坐浴结合艾灸对肛瘘术后疼痛、创面愈合及肛肠动力学的影响。方法:便利抽签法选择本院2019年1月~2020年2月诊治的100例肛瘘患者作为研究对象,根据治疗方法分为对照组(48例)和研究组(52例),前者给予艾灸治疗,后者给予祛腐生肌方坐浴结合艾灸治疗。比较两组患者术后疼痛、创面愈合和肛肠动力学,并评估其疗效。结果:研究组患者治疗有效率为96.15%,明显高于对照组的83.33%(P<0.05);治疗前两组视觉模拟(VAS)评分比较无明显差异(P>0.05),治疗后1d、3d研究组患者分值均明显低于对照组(P<0.05);研究组患者腐肉脱落、创面愈合以及上皮组织新生时间均明显小于对照组(P<0.05);治疗前两组患者肛肠动力学无明显差异(P>0.05),治疗后两组肛管收缩压(AMCP)、和肛管最长收缩时间(ALCT)无明显差异,研究组肛管静息压(ARP)和直肠静息压(RRP)明显低于对照组(P<0.05)。结论:祛腐生肌坐浴联合艾灸治疗用于肛瘘术后患者治疗疗效更为显著,可有效减轻术后疼痛,改善肛肠动力学。Objective:To study the effect of sitz bath with Removing Slough and Promoting Growth of Tissue Regeneration Recipe combined with moxibustion for postoperative pain,wound healing and anorectal dynamics after anal fistula operation.Methods:A total of 100 patients with anal fistula diagnosed and treated in the hospital between January 2019 and February 2020 were selected as the subjects by the convenient lottery method.They were divided into a controlled group(48 cases) and a study group(52 cases) according to the treatment method.The former were treated with moxibustion,and the latter were treated with sitz bath with Removing Slough and Promoting Growth of Tissue Regeneration Recipe combined with moxibustion.Postoperative pain,wound healing,and anorectal dynamics were compared between the two groups.The curative effect was evaluated.Results:The effective rate of treatment in the study group(96.15%) was significantly higher than that in the controlled group(83.33%)(P<0.05).There was no significant difference in visual analogue scale(VAS) scores between the two groups before treatment(P>0.05).The scores of the study group at 1 day and 3 days after treatment were significantly lower than those of the controlled group(P<0.05).The slough shedding time,wound healing time and epithelial tissue regeneration time of the study group were significantly shorter than the controlled group(P<0.05).There was no significant difference in anorectal dynamics between the two groups(P>0.05).After treatment,there was no significant difference in the anal maximum contraction pressure(AMCP) or the anal longest contraction time(ALCT) between the two groups.The anal rest pressure(ARP) and rectal rest pressure(RRP) of the study group were significantly lower than the controlled group(P<0.05).Conclusion:The curative effect of sitz bath with Removing Slough and Promoting Growth of Tissue Regeneration Recipe combined with moxibustion is more obvious after anal fistula operation.It can effectively reduce postoperative pain and improve anorectal

关 键 词：祛腐生肌方 艾灸 肛瘘 创面愈合 肛肠动力学 术后疼痛 

分 类 号：R657.16[医药卫生—外科学]