愈烫伤油用于高频电刀低位单纯性肛瘘术后患者创面愈合的效果  

Observation on clinical effect of Yu scald oil on patients with low simple anal fistula after high frequency electrotome

作　　者：刘建乔 吴承东[1] 刘仍海[2] 张羽[1] 李雪[1] 李宇栋[1] LIU Jian-qiao;WU Cheng-dong;LIU Reng-hai(Department of Anorectal Medicine,Beijing Traditional Chinese Medicine Hospital,Capital Medical University,Beijing(100010),China)

机构地区：[1]首都医科大学附属北京中医医院,北京100010 [2]北京中医药大学附属东方医院,北京100078

出　　处：《中国中西医结合外科杂志》2023年第1期19-23,共5页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

基　　金：北京市属医院科研培育项目(PZ2021021);首都医科大学附属北京中医医院“职工助推项目”(ZT202111)。

摘　　要：目的:探讨愈烫伤油用于高频电刀低位单纯性肛瘘术后患者换药促进创面愈合的效果。方法:选择首都医科大学附属北京中医医院肛肠科2020年6月—2021年6月行手术治疗的低位单纯性肛瘘患者60例,按照随机数字表法分为治疗组和对照组,每组各30例。治疗组采用愈烫伤油换药,对照组予灭菌凡士林纱条换药。治疗后对临床疗效进行评价,观察患者术后创面疼痛、创面渗液、肉芽形态评分情况。计算治疗后7 d、14 d创面愈合率,统计创面愈合时间。采用温哥华瘢痕量表(VSS)于术后3、6个月评价并比较两组患者创面瘢痕恢复情况。结果:治疗后,两组患者在创面疼痛评分[治疗组(2.75±0.84)分vs(6.13±1.09)分、对照组(3.39±1.01)分vs(6.26±1.19)分]、创面渗液评分[治疗组(2.75±0.84)分vs(6.13±1.09)分、对照组(3.39±1.01)分vs(6.26±1.19)分]及肉芽形态评分[治疗组(2.75±0.84)分vs(6.13±1.09)分、对照组(3.39±1.01)分vs(6.26±1.19)分]均低于治疗前(P<0.05),治疗组患者的创面疼痛评分[(2.75±0.84)分vs(3.39±1.01)分]、创面渗液评分[(1.48±0.39)分vs(3.11±0.33)分]及肉芽形态评分[(1.40±0.39)分vs(3.55±0.32)分]低于对照组(P<0.05)。治疗后7 d、14 d,治疗组患者创面愈合率[(17.17±2.40)%vs(13.77±2.37)%、(48.45±4.25)%vs(42.42±2.56)%]高于对照组(P<0.05)。治疗组患者创面愈合时间[(27.87±3.08)d vs(33.03±3.32)d]短于对照组(P<0.05)。治疗组总有效率为93.33%,高于对照组73.33%,差异有统计学意义(P<0.05)。术后3个月、6个月,治疗组患者VSS总分低于对照组[(3.91±0.38)分vs(6.89±0.39)分、(2.07±0.44)分vs(4.74±0.45)分,P<0.05]。结论:愈烫伤油运用于低位单纯性肛瘘术后效果显著,能够促进相关临床症状消退,缩短创面愈合时间,抑制瘢痕增生,提升患者生活质量。Objective To explore the effect of Healing Scald Oil on wound healing after low simple anal fistula operation with high frequency electric knife.Methods Sixty patients with low simple anal fistula who underwent surgical treatment in the Department of Anorectal Surgery,Beijing Hospital of Traditional Chinese Medicine from June 2020 to June 2021 were selected and divided into treatment group and control group according to the random number table method,30 cases in each group.Treatment group more scald oil dressing,control group sterile vaseline gauze dressing.After treatment,the clinical efficacy was evaluated,postoperative wound pain,exudate,granulation morphology were observed.The wound healing rate was calculated at 7 d and 4d after treatment,and the wound healing time was counted.Vancouver scar scale(VSS)was used to compare the recovery of wound scar between the two groups at 3 and 6 months after operation.Results After treatment,the wound pain[treatment group(2.75±0.84)points vs(6.13±1.09)points,control group(3.39±1.01)points vs(6.26±1.19)points],exudation[treatment group(2.75±0.84)points vs(6.13±1.09)points,control group(3.39±1.01)points vs(6.26±1.19)points]and granulation morphology[treatment group(2.75±0.84)points vs(6.13±1.09)points,control group(3.39±1.01)points vs(6.26±1.19)points]of the two groups were lower than those before treatment(P<0.05).The wound pain[(2.75±0.84)points vs(3.39±1.01)points],exudation[(1.48±0.39)points vs(3.11±0.33)points]and granulation morphology[(1.40±0.39)points vs(3.55±0.32)points]of the treatment group were lower than those of the control group(P<0.05).The wound healing rate[(17.17±2.40)%vs(13.77±2.37)%,(48.45±4.25)%vs(42.42±2.56)%]of the treatment group was higher than that of the control group at 7 d and 14 d after treatment(P<0.05).The wound healing time of the treatment group[(27.87±3.08)d vs(33.03±3.32)d]was shorter than that of the control group(P<0.05).The total effective rate of the treatment group was93.33%,which was higher than that of the co

关 键 词：低位单纯性肛瘘 术后 愈烫伤油 高频电刀 创面愈合 

分 类 号：R657.1[医药卫生—外科学]