中药熏洗与中医挂线联合治疗复杂性肛瘘的临床疗效分析

发布时间：2018-08-25 19:20

【摘要】：目的:观察分析中药熏洗与中医挂线联合治疗复杂性肛瘘的效果。方法:选2015年3月—2016年3月本院收治的复杂性肛瘘患者80例,随机分成两组采取不同方式治疗,对照组40例采取中医挂线治疗,观察组40例联合使用中药熏洗与中医挂线治疗,比较两组疗效、创面愈合时间、肛门功能评分以及12个月内复发率。结果:观察组总有效率为97.50%,较对照组的75.00%高,P0.05,有统计学意义;观察组患者创面平均愈合时间为(21.55±4.21)d,较对照组的(33.25±4.35)d短,P0.05,有统计学意义;观察组肛门功能评分为0.35±0.10分,对照组为1.56±0.21分,观察组患者肛门功能评分较对照组优,P0.05,存在统计学意义;观察组12个月复发率为2.50%,较对照组的15.00%低,P0.05,有统计学意义。结论:联合应用中药熏洗与中医挂线治疗复杂性肛瘘可提高疗效,加快创面的愈合,促进患者肛门功能的恢复,降低复发率,推荐使用。
[Abstract]:Objective: to observe and analyze the effect of combination of traditional Chinese medicine fumigation and traditional Chinese medicine thread on complex anal fistula. Methods: from March 2015 to March 2016, 80 patients with complicated anal fistula were randomly divided into two groups, and 40 patients in control group were treated with traditional Chinese medicine (TCM). 40 cases in the observation group were treated with traditional Chinese medicine fumigation combined with traditional Chinese medicine (TCM). The curative effect, wound healing time, anal function score and recurrence rate within 12 months were compared between the two groups. Results: the total effective rate of the observation group was 97.50, which was significantly higher than that of the control group (75.00%, P 0.05), and the average healing time of the patients in the observation group was (21.55 卤4.21) days, which was significantly shorter than that in the control group (33.25 卤4.35) days (P 0.05), the anal function score of the observation group was 0.35 卤0.10, and that of the control group was 1.56 卤0.21. The anus function score in the observation group was significantly higher than that in the control group (P 0.05), and the recurrence rate in the observation group at 12 months was 2.50%, which was significantly lower than that in the control group (15.00%). Conclusion: the combination of traditional Chinese medicine fumigation and traditional Chinese medicine thread in the treatment of complex anal fistula can improve the curative effect, accelerate the wound healing, promote the recovery of anal function of patients, reduce the recurrence rate, and recommend the use of this method.
【作者单位】： 西南医科大学附属医院肛肠科;成都肛肠专科医院/中国PPH培训中心;
【基金】：成都市卫计委项目(110100)
【分类号】：R266

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