中药熏洗坐浴联合多源频谱治疗仪治疗小儿肛周脓肿临床研究  

Clinical Study on Chinese Medicine Fumigation and Hip Bath Combined with Multifocal Frequency Spectrum Instrument for Pediatric Crissum Abscess

作　　者：贾世挺 JIA Shiting(Department of Anorectal Surgery,Yongkang First People's Hospital,Yongkang Zhejiang 321300,China)

机构地区：[1]永康市第一人民医院肛肠外科,浙江永康321300

出　　处：《新中医》2024年第1期140-144,共5页New Chinese Medicine

基　　金：国家卫生发展科研专项计划(20-1-2-03-YHC)。

摘　　要：目的:观察中药熏洗坐浴联合多源频谱治疗仪治疗小儿肛周脓肿的临床疗效。方法:采用随机数字表法将102例小儿肛周脓肿患者分为对照组、治疗组各51例。对照组采用多源频谱治疗仪治疗,治疗组在对照组基础上联合中药熏洗坐浴治疗,2组均连续治疗2周。比较2组创面愈合状况及治疗前后Wexner评分、创面渗出评分、肉芽组织生长评分、简明健康调查问卷(SF-36)评分、视觉模拟评分法(VAS)评分、创口面积,并评估2组临床疗效及不良反应发生情况。结果:治疗组总有效率94.12%,高于对照组84.31%(P<0.05)。治疗组创面愈合时长、创口腐肉掉落时长、创口渗液消失时间较对照组缩短(P<0.05)。2组治疗后Wexner评分、VAS评分及创口面积较治疗前降低(P<0.05),创面渗出评分、肉芽组织生长评分、SF-36评分升高(P<0.05);治疗组治疗后Wexner评分、VAS评分及创口面积低于对照组(P<0.05),创面渗出评分、肉芽组织生长评分、SF-36评分高于对照组(P<0.05)。治疗组不良反应发生率低于对照组,差异具有统计学意义(P<0.05)。结论:中药熏洗坐浴联合多源频谱治疗仪治疗小儿肛周脓肿疗效确切,能够有效改善患者肛门功能,缓解疼痛,加快创面愈合,安全性较高。Objective:To observe the clinical effect of Chinese medicine fumigation and hip bath combined with multifocal frequency spectrum instrument for pediatric crissum abscess.Methods:A total of 102 pediatric perianal abscess were divided into 51 patients in the control group and 51 patients in the treatment group.The control group was treated with multi-source spectrum therapy instrument,while the treatment group was treated with Chinese medicine fumigation and hip bath on the basis of the control group,the two groups were treated for 2 weeks.The wound healing status and the Wexner score,wound discharge score,granulation growth growth score,concise health questionnaire(SF-36)score,Visual Analogue Scale(VAS)score and wound area before and after treatment,and the clinical efficacy and adverse reactions of the two groups were compared.Results:The total effective rate in the treatment group was 94.12%,higher than that in the control group by 84.31%(P<0.05).In the treatment group,the healing time,the carrion drop time and the disappearance time shortened with the control group(P<0.05),the proportion of some incontinence and severe incontinence was lower than that of the control group(P<0.05).The Wexner score,VAS score and wound area were lower(P<0.05),and wound discharge score,granulation growth score,SF-36 score increased(P<0.05);The Wexner score,VAS score and wound area were lower than the control group(P<0.05),and wound discharge score,granulation growth score,SF-36 score were higher than the control group(P<0.05).The incidence of adverse reactions in the treatment group was lower than that of the control group(P<0.05).Conclusion:Chinese medicine fumigation and hip bath combined with multifocal frequency spectrum instrument has a definite curative effect in treating pediatric crissum abscess,which can effectively improve the anal function of patients,relieve pain and accelerate wound healing,with high safety.

关 键 词：小儿肛周脓肿 中药熏洗 多源频谱治疗仪 肛门功能 疼痛 创口愈合 

分 类 号：R726.1[医药卫生—儿科]