中药塌渍联合熏洗治疗肛周脓肿术后并发症的疗效观察  

Curative Effect of External Application Combined with Fumigation and Washing with Traditional Chinese Herbal Medicine on Postoperative Complications of Perianal Abscess

作　　者：杜沂岚[1] 陈林[1] 蔺小霞 唐敏[1] 陈淑媛[1] 邓胜全 Abscess Du Yilan;Chen Lin;Lin Xiaoxia;Tang Min;Chen Shuyuan;Deng Shengquan(Department of Anus and Proctology,The First Affiliated Hospital of Chengdu Medical College,Chengdu 610500,China;Department of Anus and Proctology,Guanghan People’s Hospital,Guanghan 618300,China)

机构地区：[1]成都医学院第一附属医院肛肠科,成都610500 [2]广汉市人民医院肛肠科,广汉618300

出　　处：《成都医学院学报》2022年第5期574-577,共4页Journal of Chengdu Medical College

基　　金：四川省中医药管理局一般项目(No:2020LC0074)。

摘　　要：目的观察中药塌渍联合中药熏洗治疗肛周脓肿术后并发症的疗效。方法选取2020年7月至2021年12月成都医学院第一附属医院肛肠科收治的符合纳入标准的肛周脓肿住院患者160例为研究对象,采用随机数字表法分为对照组和试验组,每组80例。肛周脓肿术后,对照组患者采用1∶5000高锰酸钾溶液熏洗、换药等护理措施,试验组患者采用中药塌渍联合中药熏洗、换药等护理措施。比较两组患者术后尿潴留发生率及患者满意率;采用视觉模拟评分法(VAS)评判患者术后7 d内疼痛的严重程度;采用创面水肿评分评定患者创面水肿情况。结果试验组术后尿潴留发生率明显低于对照组,差异有统计学意义(P<0.05);术后第1、3、5天试验组VAS评分明显低于对照组,差异有统计学意义(P<0.05);术后第7天两组VAS评分比较,差异无统计学意义(P>0.05);术后第1天两组创面水肿评分比较,差异无统计学意义(P>0.05);术后第3、5、7天试验组创面水肿评分明显低于对照组,差异有统计学意义(P<0.05);出院后试验组患者满意率高于对照组,差异有统计学意义(P<0.05)。结论中药塌渍联合中药熏洗治疗肛周脓肿术后并发症具有良好疗效,可加快患者术后恢复,提高患者满意率。Objective To observe the curative effect of traditional Chinese herbal soaking application combined with traditional Chinese medicine fumigation and washing in the treatment of postoperative complications of perianal abscess.Methods A total of 160 patients with perianal abscess who met the inclusion criteria and were admitted to the department of anus and proctology of the First Affiliated Hospital of Chengdu Medical College from July 2020 to December 2021 were selected as the research objects.They were divided into control group(n=80)and experimental group(n=80)according to random number table method.After perianal abscess surgery,the control group was treated with 1:5000 potassium permanganate solution fumigation and washing,dressing change and other nursing methods,while the experimental group was treated with traditional Chinese herbal soaking application combined with traditional Chinese medicine fumigation and washing,dressing change and other nursing methods.Visual analogue scale(VAS)was used to evaluate the severity of pain within 7 days after surgery.Likert 3-level scale was used for the evaluation of wound edema.The incidence of postoperative urinary retention and patient satisfaction were compared between the two groups.Results The incidence of postoperative urinary retention in the experimental group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).On the 1st,3rd and 5th day after surgery,the VAS score in the experimental group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in VAS score between the two groups on the 7th day after surgery(P>0.05).There was no significant difference in postoperative wound edema score between the two groups on the 1st day after surgery(P>0.05).The score of postoperative wound edema in the experimental group was significantly lower than that in the control group on the 3rd,5th and 7th day after surgery,and the

关 键 词：中药塌渍 中药熏洗 肛周脓肿术后 并发症 疗效 加速康复 

分 类 号：R266[医药卫生—中医外科学]