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作 者:马继红 刘小生[1] MA Ji-hong;LIU Xiao-sheng(Department of Pharmacy,Fengxian County People's Hospital,Xuzhou 221700,China)
机构地区:[1]丰县人民医院药剂科,221700
出 处:《中国现代药物应用》2025年第7期117-120,共4页Chinese Journal of Modern Drug Application
摘 要:目的研究复方荆芥熏洗剂对肛周脓肿患者术后的应用效果。方法将接受手术治疗的90例肛周脓肿患者纳入研究,按抽签法分为对照组(45例)和研究组(45例)。对照组术后进行常规治疗,研究组术后进行常规+复方荆芥熏洗剂治疗。对比两组治疗效果、创面恢复情况、创面水肿程度、数字疼痛评分表(NRS)评分、并发症发生情况。结果研究组治疗总有效率比对照组高(97.78%VS 82.22%)(P<0.05)。研究组创面干燥时间(11.83±2.17)d、创面腐烂组织脱落时间(3.28±0.47)d及创面愈合时间(16.87±3.20)d短于对照组的(19.44±3.50)、(3.93±0.56)、(21.03±3.77)d(P<0.05)。治疗1、2、3周时,两组创面水肿程度评分均较治疗前下降,且研究组创面水肿程度评分分别为(1.13±0.27)、(0.39±0.15)、(0.25±0.10)分,较对照组的(1.45±0.26)、(0.64±0.17)、(0.42±0.14)分低(P<0.05)。治疗1、2、3周时,两组NRS评分均较治疗前下降,且研究组NRS评分分别为(3.90±0.87)、(1.76±0.45)、(1.23±0.40)分,较对照组的(4.45±1.12)、(2.35±0.47)、(1.55±0.46)分低(P<0.05)。研究组并发症发生率低于对照组(0 VS 13.33%)(P<0.05)。结论肛周脓肿患者术后应用复方荆芥熏洗剂可减轻创面水肿、疼痛程度,促进创面恢复,疗效满意且安全性高,值得大力推广。Objective To study the application effect of compound nepeta fumigant in postoperative patients with perianal abscess.Methods A total of 90 patients with perianal abscess who underwent surgical treatment were included in this study,and were divided into a control group(45 cases)and a study group(45 cases)according to the lottery method.The control group received conventional treatment after surgery,and the study group received conventional treatment+compound nepeta fumigation treatment after surgery.The treatment effect,wound recovery,wound edema,numerical rating scale(NRS)and complications were compared between the two groups.Results The total effective rate of the study group was higher than that of the control group(97.78%VS 82.22%)(P<0.05).The wound drying time,wound decay tissue shedding time and wound healing time were(11.83±2.17),(3.28±0.47)and(16.87±3.20)d in the study group,which were shorter than(19.44±3.50),(3.93±0.56)and(21.03±3.77)d in the control group(P<0.05).After 1,2 and 3 weeks of treatment,the score of wound edema in both groups decreased compared with before treatment;the score of wound edema in the study group were(1.13±0.27),(0.39±0.15)and(0.25±0.10)points,which were lower than(1.45±0.26),(0.64±0.17)and(0.42±0.14)points in the control group(P<0.05).After 1,2 and 3 weeks of treatment,NRS scores in both groups decreased compared with before treatment;NRS scores in the study group were(3.90±0.87),(1.76±0.45)and(1.23±0.40)points,which were lower than(4.45±1.12),(2.35±0.47)and(1.55±0.46)points in the control group(P<0.05).The complication rate of the study group was lower than that of the control group(0 VS 13.33%)(P<0.05).Conclusion The application of compound nepeta fumigation in postoperative patients with perianal abscess can reduce wound edema and pain,and promote wound recovery,with satisfactory efficacy and high safety,which is worthy of vigorous promotion.
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