中药熏洗坐浴用于肛瘘术后的疗效观察  

Therapeutic Effect of Chinese Herbal Fumigation and Sitting Bath after Anal Fistula

作　　者：文云波[1] 余壮[1] WEN Yun-bo;YU Zhuang(The First People's Hospital of Zunyi City,Guizhou Zunyi 563000)

机构地区：[1]遵义市第一人民医院,贵州遵义563000

出　　处：《深圳中西医结合杂志》2021年第17期77-79,共3页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:研究对肛瘘术后患者采用中药熏洗的治疗效果。方法:选取遵义市第一人民医院2018年6月至2019年6月期间行肛瘘术的198例患者,依据随机数字表法将其分为观察组和对照组,各99例。对照组采取常规1:5000高锰酸钾溶液坐浴,观察组采用中药熏洗治疗,比较两组患者治疗前后的水肿积分,统计两组患者临床症状消失时间以及创面愈合时间以及治疗有效率。结果:治疗前,两组患者的水肿积分比较,差异无统计学意义(P>0.05);治疗后,两组患者的水肿积分均有所下降,且观察组低于对照组,差异具有统计学意义(P<0.05);观察组患者治疗总有效率为97.08%,高于对照组的89.90%,差异具有统计学意义(P<0.05);观察组患者的临床症状消失时间及创面愈合时间均短于对照组,差异具有统计学意义(P<0.05)。结论:对行肛瘘术的患者采用中药熏洗治疗,可有效减轻水肿及分泌物,减轻疼痛,促进患者创面愈合。Objective To study the therapeutic effect of fumigation and washing with Traditional Chinese medicine after anal fistula.Methods A total of 198 patients who underwent anal fistula in The First People’s Hospital of Zunyi city from June 2018 to June 2019 were selected and divided into observation group and control group according to random number table method,with 99 cases in each group.The control group was treated with conventional 1:5000 potassium permanganate sittbath,and the observation group was treated with traditional Chinese medicine fumigation and washing on the basis of the control group.The scores of edema before and after treatment,the time of clinical symptoms disappearing and wound healing of the two groups were compared,and the treatment efficiency of the two groups was compared.Results Before treatment,there was no significant difference in the scores of edema between 2 groups(P>0.05).After treatment,the edema score in both groups decreased,and the observation group was lower than the control group,the difference was statistically significant(P<0.05).The total effective rate of observation group was 97.08%,higher than 89.90%of control group,the difference was statistically significant(P<0.05).The clinical symptom disappear time and wound healing time of observation group were shorter than control group,the difference was statistically significant(P<0.05).Conclusion Traditional Chinese medicine fumigation and washing treatment for patients undergoing anal fistula can effectively reduce edema,secretion,relieve pain and promote wound healing,with significant curative effect.

关 键 词：肛瘘术后 中药熏洗 高锰酸钾 

分 类 号：R657.16[医药卫生—外科学]