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中药熏洗治疗肛瘘围手术期并发症的疗效观察
作者:马燕玲  陆宏  韩晔 
单位:上海中医药大学附属曙光医院 肛肠科, 上海 200021
关键词:肛瘘 中药熏洗 围手术期 术后并发症 中医药疗法 
分类号:R657.16
出版年·卷·期(页码):2017·36·第十二期(1772-1775)
摘要:

目的:观察自制外用中药熏洗对肛瘘围手术期并发症和创面愈合的疗效。方法:将120例肛瘘患者根据高位、低位和治疗、对照来随机分组,分为低位治疗组、低位对照组、高位治疗组、高位对照组4组,每组30例。手术采用肛瘘切除术,常规术后每日换药,治疗组患者都给予自制外用熏洗中药方熏洗、换药治疗,对照组患者均给予1:5 000高锰酸钾稀释液熏洗、换药治疗。于术后第2、7、28天观察并比较患者疼痛、创面渗出、发热的发生情况以及创面愈合情况。结果:术后治疗组患者的疼痛、创面渗出、发热发生情况明显好于对照组(P<0.05)。结论:自制外用熏洗中药方局部熏洗比高锰酸钾溶液外洗能够更好地缓解肛瘘患者术后并发症。

Objective: To evaluate the curative efficacy of postoperative complications by application of Chinese Herbal by partial external bath after anal fistulectomy.Methods: Total 120 in-patients with postoperative fistula were assigned in series randomly to 4 groups,including treatment group and control group of high and low fistula, each group included 30 cases. All the patients adopted anal fistulectomy and changed fresh dressing for a wound everyday. The therapy was used after the operation. The treatment group was treated by using the fumigation and washing therapy ofChinese Herbal. The control group was treated by using 1:5 000 postassium hypermanganate solution. During 28 days treatment,the symptoms after operations were recorded and evaluated respectively at the 2th,7th,28th day after operation,such as pain, leakage, fever, etc. These data were compared by scoring system after administration in each group.Results: The curative effects of Chinese Herbal by partial external bath were better than 1:5 000 postassium hypermanganate solution in relieving the pain,leakage,fever after anal fistulectomy(P<0.05).Conclusion: Chinese Herbal for partial external bath can release the postoperative complications after fistulectomy efficiently during the perioperative period.

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