痔疮散熏洗坐浴对低位单纯性肛瘘术后创面影响的临床疗效观察

发布时间：2018-05-25 19:16

本文选题：痔疮散 + 低位单纯性肛瘘　；参考：《辽宁中医药大学》2017年硕士论文

【摘要】：目的:通过比较分析,观察痔疮散熏洗坐浴对低位单纯性肛瘘术后创面影响的临床疗效。方法:选取辽宁中医药大学附属医院肛肠科2015年3月至2017年2月期间诊断为低位单纯性肛瘘患者为研究对象,共60例。将所选病例随机分为两组,分别为术后痔疮散熏洗坐浴组(治疗组)和术后高锰酸钾溶液熏洗坐浴组(对照组),每组各30例。将两组的综合疗效、创面疼痛程度、创面分泌物渗出量、创面肉芽组织形态、肛缘水肿程度、创面面积愈合率及创面愈合时间进行比较分析。结果:1.治疗组与对照组在年龄、性别、病程和原始创面面积上比较均无统计学差异(P0.05)。2.治疗组与对照组在综合疗效方面比较,无统计学差异(P0.05)。3.治疗组与对照组在疼痛程度和肛缘水肿程度的比较中,术后第3、7天比较时具有显著性差异(P0.01),第14天时,无统计学差异(P0.05)。4.治疗组与对照组在创面分泌物渗出量的比较中,术后第3、7天比较时具有统计学差异(P0.05),第14天时,无统计学差异(P0.05)。5.治疗组与对照组在创面肉芽组织形态的比较中,术后第3、7、14天时均有统计学差异(P0.05)。6.治疗组与对照组在创面面积愈合率的比较中,术后第3天时,无统计学差异(P0.05),而在第7、14天时有统计学差异(P0.05)。7.治疗组与对照组在创面愈合时间方面的比较中,有统计学差异(P0.05)。结论:1.痔疮散熏洗坐浴配合一效膏外敷与高锰酸钾溶液熏洗坐浴配合一效膏外敷,对促进低位单纯性肛瘘术后创面恢复均有较好的临床疗效。2.与高锰酸钾溶液熏洗坐浴配合一效膏外敷相比,痔疮散熏洗坐浴配合一效膏外敷在低位单纯性肛瘘术后早期,能够明显减轻患者的创面疼痛感、肛缘水肿及减少创面的分泌物渗出量,且在术后整个病程中能够加快创面肉芽组织的生长速度,促进创面愈合。3.与高锰酸钾溶液熏洗坐浴配合一效膏外敷相比,痔疮散熏洗坐浴配合一效膏外敷在低位单纯性肛瘘术后,能够明显提高创面愈合率,缩短创面愈合时间。
[Abstract]:Objective: to observe the clinical effect of hemorrhoids powder fumigation and sitting bath on postoperative wound of low simple anal fistula. Methods: from March 2015 to February 2017, 60 patients with low simple anal fistula were selected from Department of anal and Enterology, affiliated Hospital of Liaoning University of traditional Chinese Medicine. The selected cases were randomly divided into two groups: postoperative hemorrhoid powder fumigation and sitting bath group (treatment group) and potassium permanganate solution fumigation and sitting bath group (control group, 30 cases in each group). The comprehensive curative effect, the degree of wound pain, the exudation of wound secretion, the morphology of granulation tissue, the degree of anal edema, the rate of wound area healing and the wound healing time were compared between the two groups. The result is 1: 1. There was no significant difference in age, sex, course of disease and original wound area between the treatment group and the control group. The treatment group and the control group in the comprehensive efficacy, there is no statistical difference (P 0.05). 3. In the comparison of pain degree and anal edematosis between the treatment group and the control group, there was a significant difference between the treatment group and the control group on the 3rd day after operation (P 0.01), and on the 14th day, there was no significant difference (P 0.05). In the comparison of the exudation of wound secretion between the treatment group and the control group, there was a statistical difference between the treatment group and the control group on the 3rd day after operation (P 0.05), and on the 14th day, there was no statistical difference (P 0.05). In the comparison of granulation tissue morphology between the treatment group and the control group, there was a statistical difference between the treatment group and the control group at 714 days after operation. In the comparison of wound area healing rate between the treatment group and the control group, there was no significant difference on the 3rd day after operation (P 0.05), but there was a significant difference at the 714 day (P 0.05). There was significant difference in wound healing time between the treatment group and the control group (P 0.05). Conclusion 1. Hemorrhoids powder fumigation and sitting bath combined with one effect ointment and potassium permanganate solution fumigation and sitting bath combined with one effect ointment had good clinical effect on promoting the recovery of low simple anal fistula after operation. Compared with potassium permanganate solution fumigation and sitting bath combined with one effect ointment external application, hemorrhoids powder fumigation and sitting bath combined with one effect ointment external application in the early stage of low simple anal fistula can obviously reduce the pain of the wound of the patients. The edema of anal margin and the decrease of exudation of wound secretion can accelerate the growth rate of granulation tissue and promote wound healing during the whole course of operation. Compared with potassium permanganate solution fumigation and sitting bath combined with one effect ointment external application, hemorrhoids powder fumigation and sitting bath combined with one effect ointment external application in low simple anal fistula can obviously improve wound healing rate and shorten wound healing time.
【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】：R266

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