槟榔散促进低位肛周脓肿术后创面愈合的临床疗效观察

发布时间：2018-08-29 19:00

【摘要】：目的：观察槟榔散用于低位肛周脓肿术后换药的临床疗效,为临床寻求一种安全、有效、价廉的方法。方法：将符合纳入标准的患者60例,经SPSS17.0软件中的Random Number Seed程序随机分为治疗组、对照组,每组各30例,其中治疗组采用涂抹有槟榔散的盐水纱条换药,对照组采用盐水纱条换药,两组均采用在腰俞穴麻醉下行肛周脓肿一次性根治引流术,均于术后第二天开始第一次换药。观察记录两组术后第4、7、14天创面长度、深度,创面分泌物情况,并记录所有病例的愈合时间。再应用统计学软件对结果进行分析。结果：经统计学分析,两组在性别、年龄无明显差异,具有可比性。两组病例术后初始创面长度及深度比较,无统计学意义(P0.05)。对两组术后第4、7、14天的创面长度、深度分别进行比较,两组有资料差异有统计学意义(P0.05),提示治疗组明显优于对照组。两组术后第7、14天的创面分泌物进行比较,有统计学意义(P0.05),提示治疗组优于对照组。两组创面愈合时间比较,其差异有统计学意义(P0.05),提示治疗组明显优于对照组。结论：槟榔散具有行气消肿、清热解毒、敛疮生肌的作用,对促进创面愈合,减少创面分泌物,缩短创面愈合时间有较好的临床疗效。
[Abstract]:Objective: to observe the clinical effect of Bang Nu Powder in the treatment of low perianal abscess after operation, and to find a safe, effective and inexpensive method for clinical application. Methods: sixty patients who met the inclusion criteria were randomly divided into treatment group (n = 30) and control group (n = 30) by Random Number Seed program in SPSS17.0 software. The treatment group was treated with saltwater gauze coated with betel nut powder. The control group was changed with saline gauze, the two groups were treated with anus abscess under the anaesthesia of Yaoshu point. The first dressing change began on the second day after operation. The wound length, depth, wound secretion and healing time of all cases were observed and recorded on the 4th day and 14th day after operation. The results were analyzed by statistical software. Results: statistical analysis showed that there was no significant difference in sex and age between the two groups. There was no significant difference in the initial wound length and depth between the two groups (P0.05). The length and depth of wound were compared between the two groups on the 4th day and 14th day after operation. There was significant difference between the two groups (P0.05), suggesting that the treatment group was better than the control group. There was significant difference between the two groups on the 14th day after operation (P0.05), suggesting that the treatment group was superior to the control group. The difference of wound healing time between the two groups was statistically significant (P0.05), suggesting that the treatment group was significantly better than the control group. Conclusion: Betang nut powder has the effect of removing qi and swelling, clearing heat and detoxifying, and astringent sores to produce muscle. It can promote wound healing, reduce wound secretion and shorten wound healing time.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R266

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