连蒲熏洗方对肛裂术后创面愈合影响的临床观察

发布时间：2018-01-30 06:37

本文关键词： 连蒲熏洗方肛裂熏洗坐浴止痛创面愈合　出处：《新疆医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:观察连蒲熏洗方对肛裂术后创面愈合影响的临床疗效。方法:选取2015年6月至2016年11月新疆维吾尔自治区中医医院肛肠科符合纳入标准的Ⅱ期、Ⅲ期肛裂,住院并行手术治疗的患者,共60例。将纳入病人随机分为两组,其中治疗组用连蒲熏洗方坐浴,对照组用金玄痔科熏洗散坐浴,每组30例,两组病人在年龄、性别、肛裂分期方面均无明显差别,本研究具有可比性。年龄为18-55岁,排除患有高血压、糖尿病、冠心病等疾病的患者,手术方式均为腰硬联合麻醉。治疗组患者从术后第1天摘除外包扎纱布后,予以连蒲熏洗方熏洗坐浴,对照组用金玄痔科熏洗散熏洗坐浴,观察术后疼痛、水肿、肉芽以及临床总疗效,并记录其相对应分值。结果:纳入本课题的试验组及对照组的患者术后以同样的方式系统治疗,术后第3、7天两组疼痛、水肿评分比较P0.05,差异有统计学意义,治疗组优于对照组,说明莲蒲熏洗方在肛裂术后减轻疼痛、水肿方面较金玄痔科熏洗散优。莲蒲熏洗方在术后肉芽生长方面与金玄痔科熏洗散效果相当,P0.05,临床总有效率分别为100%、100%,说明两种治疗方法都能有效的缓解伤口不适及促进创面愈合,治疗组和对照组患者均未出现创面瘙痒、疼痛加重、斑疹生成等过敏反应。充分说明莲蒲熏洗方在肛裂术后减轻疼痛、水肿方面较金玄痔科熏洗散优,实验组和对照组患者均未出现过敏反应。结论:连蒲熏洗方对肛肠术后创面疼痛的患者起到有效的镇痛,具有清热解毒、消肿止痛、燥湿促愈的作用,在一定程度上减轻患者经济负担,值得推广。
[Abstract]:Objective: to observe the effect of Lianpu fumigation formula on wound healing after anal fissure. Methods:. From June 2015 to November 2016, the anorectal department of Xinjiang Uygur Autonomous region Chinese Medicine Hospital was selected to meet the inclusion criteria. A total of 60 patients with anal fissure were randomly divided into two groups: the treatment group was treated with Lianpu fumigation and the control group was treated with Jinxuan hemorrhoids San, with 30 cases in each group. There was no significant difference in age, sex and anal fissure stage between the two groups. This study was comparable. The age was 18-55 years old, excluding patients with hypertension, diabetes, coronary heart disease and other diseases. The operation methods were all spinal-epidural anaesthesia. The patients in the treatment group were removed from the external dressing gauze on the first day after operation, and the patients in the treatment group were given the fumigation and sitting bath with the prescription of continuous fumigation, while in the control group, the pain was observed by using Jinxuan hemorrhoids fumigation powder fumigation and washing sitting bath. Results: the patients in the trial group and the control group were treated in the same way after operation. Edema score compared with P0.05, the difference was statistically significant, the treatment group is better than the control group, indicating that Lianpu fumigation washing prescription in anal fissure postoperative pain relief. The effect of Lianpu fumigation on granulation growth was similar to that of Jinxuan hemorrhoids by fumigation and washing, and the total clinical effective rate was 100%. These two methods can effectively relieve the discomfort of the wound and promote the wound healing. The patients in the treatment group and the control group did not appear the pruritus of the wound and the pain was aggravated. Fully explained that Lianpu fumigation washing prescription in anal fissure postoperative pain relief, edema than Jinxuan hemorrhoids fumigation washing powder. Conclusion: Lianpu fumigation formula has effective analgesic effect on patients with pain after anorectal operation, it has the effect of clearing heat and detoxification, reducing swelling and relieving pain, promoting healing by dryness and dampness. To a certain extent, to alleviate the economic burden of patients, it is worth promoting.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R657.1

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