一效膏外敷治疗直肠癌Miles术后会阴部切口不愈合的疗效观察

发布时间：2018-02-22 07:48

本文关键词： 一效膏直肠癌Miles术后会阴部切口不愈合中医药治疗　出处：《辽宁中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:探索研究运用一效膏外敷治疗直肠癌Miles术后会阴部切口不愈合的临床疗效。材料与方法:将随机入选的40例直肠癌Miles术后会阴部切口不愈合的患者随机分成治疗组和对照组各20例。会阴部创面常规消毒后,治疗组于会阴部创面处一效膏外敷治疗,将适量一效膏均匀涂抹于会阴部创面处,以能完全覆盖整个创面为度,然后以无菌敷料覆盖,黏性胶带固定,每日换药一次;会阴部创面常规消毒后,对照组于会阴部创面处湿敷康复新液治疗,每次将约10ml康复新液均匀平摊于消毒纱布上(厚约4cm)湿敷于创面处,以能完全覆盖会阴部创面为度,然后无菌敷料覆盖,黏性胶带固定,每日换药一次。两组治疗的疗程均为4周,4周后观察两组的临床疗效及创面的愈合时间等相关指标。结果:1.治疗组20例术后会阴部切口不愈合患者中,治愈15例,显效3例,好转1例,无效1例,总有效率为90.5%;对照组20例术后会阴部切口不愈合患者中,痊愈9例,显效3例,好转4例,无效4例,总有效率为80.0%。两组疗效进行比较,经过t检验统计分析,得出结果:P0.05,差异具有统计学意义。2.治疗组会阴部切口愈合时间为(17-43)d,平均切口愈合时间为(22.65±6.85)d;对照组会阴部切口愈合时间为(25-59)d,平均切口愈合时间为(35.00±10.86)d,两组平均切口愈合时间进行比较,得出结果:P0.05,两者存在差异性,具有统计学意义。结论:一效膏较康复新液在治疗直肠癌Miles术后会阴部切口不愈合的方面临床疗效更显著,会阴部切口愈合时间短,无其它副作用,临床应用上值得推广。
[Abstract]:Objective: to explore the clinical effect of applying Yixiao ointment in the treatment of perineal incision nonunion after Miles operation for rectal cancer. Materials and methods: 40 cases of nonunion of perineum incision after Miles operation of rectal cancer were randomly divided into two groups. There were 20 cases in the treatment group and 20 cases in the control group. In the treatment group, one effect ointment was applied on the wound of perineum, and a proper amount of ointment was smeared on the wound of perineum to cover the whole wound completely, then covered with aseptic dressing, fixed with adhesive tape, and changed dressing once a day. After routine disinfection of perineal wounds, the control group was treated with new solution of wet compress on perineal wounds. Each time, about 10ml of the solution was spread evenly on the disinfectant gauze (about 4cm thick), so as to completely cover the wounds of perineum. Then the sterile dressing covers, the adhesive tape is fixed, The course of treatment in both groups was 4 weeks and 4 weeks later, the clinical curative effect and wound healing time of the two groups were observed. Results 1. In the treatment group, 15 cases were cured and 3 cases were remarkable effect in 20 cases of nonunion of the incision of perineum after operation. In the control group, 9 cases were cured, 3 cases were markedly effective, 4 cases were improved, 4 cases were ineffective, the total effective rate was 80.0%, and the total effective rate was 90.5%. After t-test statistical analysis, Results: P0.05, the difference is statistically significant. The healing time of perineal incision in the treatment group is 17-43 days, and the average wound healing time is 22.65 卤6.85 days in the treatment group, while in the control group, the healing time of the perineal incision is 25-59 days, the average wound healing time is 35.00 卤10.86 days, and the average wound healing time of the two groups is 35.00 卤10.86 days. Compare the time, The results showed that there was significant difference between the two groups. Conclusion: Yixiexin is more effective in the treatment of nonunion of perineal incision after Miles of rectal cancer, and the healing time of the incision in perineum is shorter. Without other side effects, clinical application is worth popularizing.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R735.37

【参考文献】