冰寒散加减坐浴熏洗联合微波照射对缓解高位肛瘘患者术后创面疼痛及促进愈合的效果观察
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摘要
目的:探讨冰寒散加减坐浴熏洗联合微波照射缓解高位肛瘘患者术后创面疼痛及促进愈合的效果。方法:选取2015年8月-2017年9月本院高位肛瘘术后患者78例,按照随机数字表法将其分为对照组和观察组,各39例。对照组选用冰寒散加减坐浴熏洗治疗,观察组在对照组基础上联合微波照射治疗。比较两组临床疗效、愈合时间、治疗前后的疼痛评分。结果:观察组总有效率为92.31%,高于对照组的58.97%(P<0.05);观察组创面愈合时间少于对照组的(P<0.05);治疗后,两组均疼痛评分低于治疗前,且观察组低于对照组,比较差异均有统计学意义(P<0.05)。结论:对于肛瘘术后患者而言,应用冰寒散加减坐浴熏洗联合微波照射是一种有效的治疗方式,可降低疼痛评分、加快创面愈合时间,治疗效果较好,可推广于临床。
Objective:To investigate the effect of Binghan Powder addition and subtraction sitz bath fumigation combined with microwave irradiation on relieving postoperative wound pain and promoting healing in patients with high anal fistula.Method:A total of 78 patients with high anal fistula after operation in our hospital from August 2015 to September 2017 were selected.According to the random number table method,they were divided into control group and observation group,39 cases in each group.The control group was treated with Binghan Powder addition and subtraction sitz bath fumigation,while observation group was treated with microwave irradiation on the basis of control group.The clinical efficacy,wound healing time,pain score before and after treatment between two groups were compared. Result:The total effective rate in observation group was 92.31%,which was higher than 58.97% in control group(P<0.05).The wound healing time in observation group was shorter than that of control group(P<0.05).After treatment,the pain score of two groups were lower than those of before treatment,and observation group was lower than that of control group,the differences were statistically significant(P<0.05).Conclusion:For patients with high anal fistula after operation,Binghan Powder addition and subtraction sitz bath fumigation combined with microwave irradiation is an effective treatment method,which can reduce pain score and accelerate wound healing time,has good therapeutic effect and can be popularized in clinic.
Objective:To investigate the effect of Binghan Powder addition and subtraction sitz bath fumigation combined with microwave irradiation on relieving postoperative wound pain and promoting healing in patients with high anal fistula.Method:A total of 78 patients with high anal fistula after operation in our hospital from August 2015 to September 2017 were selected.According to the random number table method,they were divided into control group and observation group,39 cases in each group.The control group was treated with Binghan Powder addition and subtraction sitz bath fumigation,while observation group was treated with microwave irradiation on the basis of control group.The clinical efficacy,wound healing time,pain score before and after treatment between two groups were compared. Result:The total effective rate in observation group was 92.31%,which was higher than 58.97% in control group(P<0.05).The wound healing time in observation group was shorter than that of control group(P<0.05).After treatment,the pain score of two groups were lower than those of before treatment,and observation group was lower than that of control group,the differences were statistically significant(P<0.05).Conclusion:For patients with high anal fistula after operation,Binghan Powder addition and subtraction sitz bath fumigation combined with microwave irradiation is an effective treatment method,which can reduce pain score and accelerate wound healing time,has good therapeutic effect and can be popularized in clinic.
引文
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[13]郑雪平,夏崇才,王雅蕊,等.乌蔹莓膏联合负压辅助愈合治疗系统对高位复杂性肛瘘术后创面愈合的影响[J].重庆医学,2017,46(29):4148-4150.
[14]陈爱霞,杜杏坤,吴春晓,等.马应龙痔疮栓辅助手术治疗复杂肛瘘的疗效观察[J].中国现代医学杂志,2017,27(9):121-124.
[15]谢昌营,肖慧荣.肛门洗剂对肛瘘术后创面恢复的影响[J].中国中西医结合杂志,2017,37(6):684-687.
[16]邹世镇,王炜,黄世锋,等.地塞米松治疗混合痔术后创面水肿和疼痛的临床观察[J].医学理论与实践,2018,31(17):2550-2552.
[17]高凌卉,王亚琴.益气扶正法治疗混合痔术后并发症的临床研究[J].辽宁中医杂志,2017,44(5):955-958.
[18]张生东,张稳存,葛昌甫.切开挂线疗法联合中药外洗方熏洗坐浴治疗高位肛瘘疗效观察[J].现代中西医结合杂志,2017,26(13):1459-1461.
[19]陈豪,杨柏霖,杨光,等.经括约肌间瘘管结扎术治疗经括约肌肛瘘的多中心前瞻性研究[J].中华消化外科杂志,2016,15(8):825-829.
[20]钟传篪,陈霞,谢晓梅,等.金玄痔科熏洗散结合离子透入用于混合痔术后的临床观察[J].中国新药与临床杂志,2016,35(8):581-584.
[21]王永,梁永峰.中药熏洗坐浴联合针刺改善老年肛肠术后疼痛的疗效分析[J].现代中西医结合杂志,2016,25(16):1778-1779,1817.
[22]艾燕.除湿活血方熏洗结合针灸对肛瘘术后创面愈合的影响[J].现代中西医结合杂志,2017,26(4):401-403.
[23]李建枫,常琳威,郑永亮.分段双重挂线术联合中药熏洗对高位肛瘘的疗效及并发症的影响[J].中医药导报,2017,23(21):98-100.
[2]陈婷,李五生.肛周脓肿术后分期外用苦柏油与促愈油促进创面愈合的临床观察[J].中国药房,2018,29(2):233-236.
[3]冷羽,李志,谢薇,等.湿润生肌油纱促肛瘘术创面愈合的疗效及对肉芽组织因长因子m RNA表达的影响[J].中华中医药学刊,2018,36(2):475-478.
[4]赵云,肖维,高哲.改良LIFT治疗复杂性肛瘘的临床疗效研究[J].中国现代医学杂志,2018,28(2):78-81.
[5]谢南珍,叶茂,程红缨.LED红/蓝光照射促进创伤后慢性伤口愈合的临床研究[J].第三军医大学学报,2016,38(10):1183-1187.
[6]冷羽,谢薇,张芳,等.收敛生肌散在肛裂术后创面治疗和防治感染中的作用分析[J].辽宁中医杂志,2018,45(6):1222-1225.
[7]张利新,梁宛伶.加味补气生肌汤联合生肌玉红膏对高位复杂肛瘘患者术后创面愈合时间及VAS评分的影响[J].中国地方病防治杂志,2017,32(12):1415-1416.
[8]陈莹璐,钟传篪,徐月,等.龙血竭胶囊合九华膏对环状混合痔术后创面促愈作用及对新生血管形成的影响[J].中国实验方剂学杂志,2017,23(8):178-183.
[9]李佳楠,李昕,来丽霞,等.双向等压引流根治术治疗高位单纯性肛瘘的临床研究[J].中国中西医结合杂志,2017,37(5):547-551.
[10]成立祥.中医熏洗坐浴联合针刺痔疮穴改善老年患者肛肠术后疼痛水肿的疗效及预后观察[J].中国地方病防治杂志,2017,32(7):814,817.
[11]徐利,葛琼翔,林国强.基于“护场”理论探讨清热化瘀法促进肛肠术后感染切口愈合的机制[J].中成药,2017,39(5):1106-1108.
[12]苏莉,郑雪平.乌蔹莓膏结合负压辅助愈合系统在高位复杂性肛瘘术后的应用研究[J].时珍国医国药,2018,29(2):368-371.
[13]郑雪平,夏崇才,王雅蕊,等.乌蔹莓膏联合负压辅助愈合治疗系统对高位复杂性肛瘘术后创面愈合的影响[J].重庆医学,2017,46(29):4148-4150.
[14]陈爱霞,杜杏坤,吴春晓,等.马应龙痔疮栓辅助手术治疗复杂肛瘘的疗效观察[J].中国现代医学杂志,2017,27(9):121-124.
[15]谢昌营,肖慧荣.肛门洗剂对肛瘘术后创面恢复的影响[J].中国中西医结合杂志,2017,37(6):684-687.
[16]邹世镇,王炜,黄世锋,等.地塞米松治疗混合痔术后创面水肿和疼痛的临床观察[J].医学理论与实践,2018,31(17):2550-2552.
[17]高凌卉,王亚琴.益气扶正法治疗混合痔术后并发症的临床研究[J].辽宁中医杂志,2017,44(5):955-958.
[18]张生东,张稳存,葛昌甫.切开挂线疗法联合中药外洗方熏洗坐浴治疗高位肛瘘疗效观察[J].现代中西医结合杂志,2017,26(13):1459-1461.
[19]陈豪,杨柏霖,杨光,等.经括约肌间瘘管结扎术治疗经括约肌肛瘘的多中心前瞻性研究[J].中华消化外科杂志,2016,15(8):825-829.
[20]钟传篪,陈霞,谢晓梅,等.金玄痔科熏洗散结合离子透入用于混合痔术后的临床观察[J].中国新药与临床杂志,2016,35(8):581-584.
[21]王永,梁永峰.中药熏洗坐浴联合针刺改善老年肛肠术后疼痛的疗效分析[J].现代中西医结合杂志,2016,25(16):1778-1779,1817.
[22]艾燕.除湿活血方熏洗结合针灸对肛瘘术后创面愈合的影响[J].现代中西医结合杂志,2017,26(4):401-403.
[23]李建枫,常琳威,郑永亮.分段双重挂线术联合中药熏洗对高位肛瘘的疗效及并发症的影响[J].中医药导报,2017,23(21):98-100.