肛肠洗剂熏蒸坐浴联合湿润烧伤膏治疗湿热下注型肛瘘术后创面疗效分析  

Clinical Efficacy of Fumigation and Sitz Bath with Anorectal Lotions Combined with MEBO in the Treatment of Postoperative Wounds of Anal Fistula with Syndrome of Downward Diffusion of Damp-heat

作　　者：杨婷 皮茂 YANG Ting;PI Mao(Anorectal Department,Xiangtan Chinese Medicine Hospital,Xiangtan,Hunan 411100,China)

机构地区：[1]湘潭市中医医院肛肠科,湖南湘潭411100

出　　处：《中国烧伤创疡杂志》2022年第6期441-444,共4页The Chinese Journal of Burns Wounds & Surface Ulcers

基　　金：2021年湘潭市医学科研项目(2021-xtyx-57)。

摘　　要：目的分析探讨肛肠洗剂熏蒸坐浴联合湿润烧伤膏治疗湿热下注型肛瘘术后创面的临床疗效。方法选取2020年12月至2021年12月湘潭市中医医院收治的拟行肛瘘切除术治疗的60例湿热下注型肛瘘患者作为研究对象,按照随机数表法将其随机分为治疗组(30例)与对照组(30例)。治疗组患者肛瘘切除术后创面采用肛肠洗剂熏蒸坐浴联合湿润烧伤膏换药治疗,对照组患者肛瘘切除术后创面采用肛肠洗剂熏蒸坐浴联合凡士林油纱换药治疗,对比观察两组患者术后创面水肿与疼痛情况以及创面愈合时间。结果术后第5、10天,治疗组患者创面水肿及疼痛评分均明显低于对照组(创面水肿:t=3.281、2.649,P=0.002、0.010;创面疼痛:t=3.584、2.919,P=0.001、0.005);治疗组患者创面愈合时间为(26.78±2.55)d,明显短于对照组患者的创面愈合时间(31.32±2.61)d(t=6.815,P<0.001)。结论肛肠洗剂熏蒸坐浴联合湿润烧伤膏治疗肛瘘术后创面,可减轻创面水肿及疼痛程度,缩短创面愈合时间,疗效显著,临床应用价值较高。Objective To analyze the clinical efficacy of fumigation and sitz bath with anorectal lotions combined with MEBO in treating postoperative wounds of anal fistula with syndrome of downward diffusion of damp-heat.Methods 60 patients with anal fistula with syndrome of downward diffusion of damp-heat,admitted to Xiangtan Chinese Medicine Hospital between December 2020 and December 2021,were enrolled as research subjects,and divided into treatment group(n=30)and control group(n=30)using the random number table.The postoperative wounds of patients in treatment group were treated with the fumigation and sitz bath with anorectal lotions and the dressing change of MEBO after the resection of anal fistula,whereas the postoperative wounds in control group were treated with the fumigation and sitz bath with anorectal lotions and the dressing change of Vaseline gauze after the resection.The wound edema,pain and healing time of patients were compared between the two groups.Results On day 5 and 10 after operation,the wound edema and pain scores of patients were obviously lower in treatment group compared with control group(wound edema:t=3.281 and 2.649,P=0.002 and 0.010;wound pain:t=3.584 and 2.919,P=0.001 and 0.005),the wound healing time in treatment group was(26.78±2.55)d,being significantly shorter than the corresponding(31.32±2.61)d in control group(t=6.815,P<0.001).Conclusion In the treatment of postoperative wounds of anal fistula,the combined application of the fumigation and sitz bath with anorectal lotions and MEBO can alleviate wound edema and pain,shorten wound healing time and realize good clinical efficacy.

关 键 词：湿润烧伤膏 肛肠洗剂 熏蒸坐浴 肛瘘 湿热下注型 术后创面 

分 类 号：R266[医药卫生—中医外科学]