中药熏洗治疗肛肠疾病术后临床研究
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R657.1+2

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Clinical Study on Chinese Herbal Fumigation and Washing for Patients After Surgery for Anorectal Diseases
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    摘要:

    目的:观察中药熏洗治疗肛肠疾病术后的临床疗效。方法:选取符合纳入标准的肛肠术后患者148 例,随机分为2 组各74 例。对照组采取高锰酸钾坐浴;观察组采用中药熏洗治疗。比较2 组治疗前后肛门疼痛、水肿、坠胀积分;比较治疗后症状包括疼痛、肛缘水肿、便血的消失时间,伤口愈合时间及平均住院时间;比较2 组临床疗效、不良反应发生率及复发率。结果:治疗后,2 组肛门疼痛、水肿、坠胀积分等分别与治疗前比较,差异均有统计学意义(P<0.05);且2 组间比较,观察肛门疼痛、水肿、肿胀积分等均低于对照组,差异均有统计学意义(P<0.05)。2 组症状包括疼痛、肛缘水肿、便血消失时间,伤口愈合时间及平均住院时间分别比较,差异均有统计学意义(P<0.05)。观察组短于对照组。临床疗效总有效率观察组95.95%,对照组79.73%,2 组总有效率比较,差异有统计学意义(P<0.05)。2 组皮疹发生率比较,差异无统计学意义(P>0.05);2 组复发率比较,差异有统计学意义(P<0.05)。结论:运用中药熏洗治疗肛肠疾病手术后,与单纯高锰酸钾坐浴相比,可明显缓解肛门疼痛、水肿、肿胀等症状,缩短疼痛、肛缘水肿、便血消失时间,伤口愈合时间及平均住院时间,给患者节约了经济成本,并在长期随访中表现出更少的复发率。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Chinese herbal fumigation and washing in the treatment of patients after surgery for anorectal diseases. Methods:A total of 148 cases of patients who underwent surgery for anorectal diseases and met the inclusion criteria were selected and randomly divided into the two groups,74 cases in each group. The control group was treated with potassium permanganate sitz bath, and the observation group was treated with Chinese herbal fumigation and washing. Scores of anal pain,edema,and swelling were compared between the two groups before and after treatment. After treatment,the disappearance time of pain,perianal edema and bloody stool,the wound healing time,and average hospitalization time were compared between the two groups. Clinical effect,as well as the incidence and recurrence rate of adverse reactions were compared between the two groups. Results:After treatment,when compared scores of anal pain,edema,and drooping and swelling sensation in the two groups with those before treatment,there were significance in differences(P<0.05), and the three scores in the observation group were lower than those in the control group, differences being significant(P<0.05). When compared the disappearance time of pain,perianal edema and bloody stool,the wound healing time,and average hospitalization time between the two groups,there were significance in differences(P< 0.05),and the disappearance time,the wound healing time,and average hospitalization time in the observation group were earlier than those in the control group. The total clinical effective rate was 95.95% in the observation group,and 79.73% in the control group, the difference being significant(P<0.05). There was no significant difference being found in the comparison of incidence of rash between the two groups(P>0.05). The comparison of the recurrence rate between the two groups showed significance in the difference(P<0.05). Conclusion: Compared with simple application of potassium permanganate sitz bath, Chinese herbal fumigation and washing in the treatment of patients after surgery for anorectal diseases can significantly relieve anal pain,edema,and swelling,promote the disappearance of pain,perianal edema and bloody stool, wound healing time, and average hospitalization time, and reduce economic cost, with smaller recurrence rate in long-term follow-up.

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何慧娟,余争垚,郑新平,朱明辉.中药熏洗治疗肛肠疾病术后临床研究[J].新中医,2021,53(18):84-88

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  • 在线发布日期: 2021-09-24
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