九华膏纱条联合中药熏洗对肛瘘和混合痔术后康复的影响  

The effect of Jiuhua ointment gauze strip combined with traditional Chinese medicine fumigation and washing on postoperative rehabilitation of anal fistula/mixed hemorrhoids

作　　者：黎双 吴喜萍 柳夏俣 LI Shuang;WU Xi-ping;LIU Xia-yu(Jiangxi Shangli County Traditional Chinese Medicine Hospital,Pingxiang 337009,Jiangxi;Jiangxi Shangli County People's Hospital,Pingxiang 337009,Jiangxi)

机构地区：[1]上栗县中医院,江西萍乡337009 [2]上栗县人民医院,江西萍乡337009

出　　处：《安徽医专学报》2024年第4期136-138,共3页Journal of Anhui Medical College

基　　金：萍乡市卫生健康新技术引进项目(编号:2021054)。

摘　　要：目的:探讨九华膏纱条联合中药熏洗对肛瘘和混合痔患者术后康复影响。方法:选取医院择期行手术治疗的94例肛瘘和混合痔患者,以抽签法分为对照组(47例)和研究组(47例);对照组患者术后予常规干预,研究组患者术后予九华膏纱条联合中药熏洗干预;对比两组干预效果、术后疼痛程度、创面愈合情况及并发症发生情况。结果:研究组患者总有效率高于对照组(P<0.05);研究组患者干预10 d视觉模拟评分法(VAS)评分、创面水肿、创面面积、创面肉芽评分均低于对照组(P<0.05);研究组患者并发症总发生率低于对照组(P<0.05)。结论:肛瘘和混合痔患者采用九华膏纱条联合中药熏洗干预效果较好,可缓解术后疼痛,促使创面愈合,减少并发症发生。Objective:To observe the effect of Jiuhua ointment gauze strip combined with traditional Chinese medicine fumigation on postoperative pain and wound healing in patients with anal fistula/mixed hemorrhoids.Method:94 patients with anal fistula/mixed hemorrhoids who underwent elective surgical treatment in the hospital were selected and divided into a control group(47 cases)and a study group(47 cases)by drawing lots;The control group received routine intervention after surgery,while the study group received intervention with Jiuhua ointment and gauze strips combined with traditional Chinese medicine fumigation and washing after surgery;Compare the intervention effects,postoperative pain level,wound healing,and complications between two groups.Result:The total effective rate of treatment in the study group was higher than that in the control group(P<0.05);The visual analogue scale(VAS)score,wound edema,wound area,and wound granulation score of the research group after 10 days of intervention were all lower than those of the control group(P<0.05);The total incidence of complications in the study group was lower than that in the control group(P<0.05).Conclusion:The intervention effect of Jiuhua ointment gauze combined with traditional Chinese medicine fumigation and washing on patients with anal fistula/mixed hemorrhoids is better,which can alleviate postoperative pain,promote wound healing,and reduce the occurrence of complications.

关 键 词：肛瘘 混合痔 九华膏纱条 中药熏洗 疼痛程度 创面愈合 

分 类 号：R248.2[医药卫生—中医临床基础]