加味苦参汤熏洗联合红外线烤灯治疗对高位复杂性肛瘘术后患者创面愈合、肛门功能的影响  

Effect of Fumigation-Washing with Modified Kushen Decoction Combined with Infrared Hot Lamp on Wound Healing and Anal Function of Patients After Surgery for High Complex Anal Fistula

作　　者：章波[1] 林恒军 邱学科[1] 张继超 ZHANG Bo;LIN Hengjun;QIU Xueke;ZHANG Jichao

机构地区：[1]金华市人民医院,浙江金华321000

出　　处：《新中医》2023年第12期6-10,共5页New Chinese Medicine

摘　　要：目的:观察加味苦参汤熏洗联合红外线烤灯治疗对高位复杂性肛瘘术后患者创面愈合、肛门功能的影响。方法:选取92例行高位复杂性肛瘘术治疗的患者,按随机数字表法分为对照组和试验组各46例。对照组术后给予高锰酸钾熏洗联合红外线烤灯治疗,试验组术后给予加味苦参汤熏洗联合红外线烤灯治疗,2组均治疗2周。比较2组临床疗效、创面愈合情况、临床症状及疼痛评分、肛门功能。结果:治疗2周,试验组临床疗效总有效率100%,高于对照组86.96%,差异有统计学意义(P<0.05)。试验组创面愈合率高于对照组,创面最大纵径、创面最大横径均小于对照组,创面渗液量少于对照组,差异均有统计学意义(P<0.05)。治疗1周,2组出血、肉芽形态、创面渗液、视觉模拟评分法(VAS)评分均较术后1 d降低(P<0.05)。治疗2周,2组出血、肉芽形态、创面渗液、VAS评分均较治疗1周降低(P<0.05)。试验组出血、肉芽形态、创面渗液、VAS评分均低于治疗后同期对照组(P<0.05)。治疗2周,2组肛管最大收缩压(AMCP)均较术前升高,肛管最长收缩时间(ALCT)均较术前增加,Wexner评分均较术前降低,差异均有统计学意义(P<0.05);试验组AMCP高于对照组,ALCT长于对照组,Wexner评分低于对照组,差异均有统计学意义(P<0.05)。结论:加味苦参汤熏洗联合红外线烤灯治疗高位复杂性肛瘘术后患者,可促进其创面愈合,改善临床症状及肛门功能。Objective:To observe the effect of fumigation-washing with modified Kushen Decoction combined with infrared hot lamp on wound healing and anal function of patients after surgery for high complex anal fistula.Methods:A total of 92 patients after surgery for high complex anal fistula were selected and divided into the control group and the trial group,with 46 cases in each group.After surgery,the control group was treated with fumigation-washing with Potassium Permanganate Solution combined with infrared hot lamp,and the trial group was treated with fumigation-washing with modified Kushen Decoction combined with infrared hot lamp.Both groups were treated for 2 weeks.The clinical effects,wound healing,scores of clinical symptoms and pain,and anal function were compared between the two groups. Results:After 2 weeks of treatment,the total clinical effective rate was 100% in the trial group,higher than that of 86.96% in the control group, the difference being significant (P<0.05). The woundhealing rate in the trial group was higher than that in the control group, the maximum vertical andtransverse diameters of wound were shorter than those in the control group,and wound drainage amountwas less than that in the control group,differences being significant (P<0.05). After 1 week of treatment,the scores of bleeding,granulation morphology,wound drainage and Visual Analogue Scale (VAS) in thetwo groups were decreased when compared with those after 1 day of operation (P<0.05). After 2 weeks oftreatment, the above 4 scores in both groups were decreased when compared those after 1 week oftreatment (P<0.05). The above 4 scores in the trial group at the same period after treatment were lowerthan those in the control group (P<0.05). After 2 weeks of treatment, the anal maximum contractionpressure (AMCP) in both groups was increased when compared with that before surgery,the anal longestcontraction time (ALCT) was increased when compared with that before surgery, and the Wexner scorewas decreased when compared with that before surg

关 键 词：高位复杂性肛瘘 加味苦参汤 熏洗 红外线烤灯 创面愈合 肛门功能 

分 类 号：R657.16[医药卫生—外科学]