| 宁 洁.中药熏蒸坐浴联合湿润烧伤膏在肛周脓肿切开引流术后创面中的应用效果分析[J].中国烧伤创疡杂志,2022,(3):217~220. |
| DOI： |
| 中文关键词: 湿润烧伤膏 中药熏蒸坐浴 高锰酸钾 肛周脓肿 切开引流术 术后创面 |
| 英文关键词:MEBO TCM fumigation and sitz bath Potassium permanganate Perianal abscess Incision and drainage Postoperative wound |
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| 中文摘要: |
| 【摘要】 目的 分析探讨中药熏蒸坐浴联合湿润烧伤膏治疗肛周脓肿切开引流术后创面的临床疗效。方法 选取 2018年9月至 2019年10月湖北省中医院收治的82例拟行脓肿切开引流术治疗的单纯性肛周脓肿患者作为研究对象, 并按照随机数表法将其随机分为观察组 (41例)与对照组(41例), 观察组患者肛周脓肿切开引流术后创面行中药熏蒸坐浴联合湿润烧伤膏换药治疗, 对照组患者肛周脓肿切开引流术后创面行高锰酸钾坐浴联合常规外科换药治疗, 对比观察两组患者创面水肿与渗出情况以及临床疗效、腐肉完全脱落时间和创面愈合时间。结果 术后第 7、14 天, 观察组患者创面水肿及渗出评分均明显低于对照组 (术后第 7 天: t = 3.526、4.134,P均＜0.001; 术后第 14 天: t = 7.091、11.340, P 均＜0.001); 术后第20天, 观察组患者中治愈16例、显效13例、有效10例、无效2例, 与对照组患者的治愈11例、显效14例、有效7例、无效9例无明显差异 (Z = -1.554,P =0.120); 观察组患者创面腐肉完全脱落时间为(4.12±1.11) d、创面愈合时间为 (22.18±3.05) d, 明显短于对照组患者的腐肉完全脱落时间(4.83±1.19) d、创面愈合时间 (24.14±3.71) d ( t = 2.794、2.631, P =0.007、0.011)? 结论 中药熏蒸坐浴联合湿润烧伤膏治疗肛周脓肿切开引流术后创面, 可减轻创面水肿及液体渗出程度, 缩短创面愈合时间, 疗效显著, 临床应用价值较高。 |
| 英文摘要: |
| 【Abstract】 Objective To study the clinical efficacy of TCM fumigation and sitz bath combined with MEBO in the treatment of wounds following perianal abscess incision and drainage. Methods 82 patients with simple perianal abscess,admitted to Hubei Provincial Hospital of TCM for abscess incision and drainage from September 2018 to October 2019, were enrolled as research subjects and divided, using the random number table, into study group ( n = 41) and control group ( n = 41). After the incision and drainage for perianal abscess, the wounds of patients in observation group were treated with TCM fumigation and sitz bath combined with MEBO dressing change, and wounds in control group were treated with sitz bath with potassium permanganate and conventional surgical dressing change. The wound edema and exudation, clinical efficacy,time of complete slough detaching and wound healing time were compared between the two groups. Results On day 7 and 14 after surgery, the wound edema score and exudation score in study group were significantly lower than that in control group (day 7 after surgery: t = 3.526, 4.134, both P < 0.001; day 14 after surgery: t = 7.091, 11.340, both P＜0.001); on day 20 after surgery, 16 cases were cured, 13 cases were markedly effective, 10 cases were effective, and 2 cases were ineffective in study group, while in control group, 11 cases were cured, 14 cases were markedly effective, 7 cases were effective and 9 cases were ineffective, and no statistically significant difference was observed between the two groups (Z = - 1.554, P = 0.120). The time of complete slough detaching was (4.12±1.11) d, and the wound healing time was (22.18±3.05) d in study group, much shorter than the corresponding (4.83±1.19) d and (24.14±3.71) d in control group (t = 2.794 and 2.631, P = 0.007 and 0.011). Conclusion TCM fumigation and sitz bath combined with MEBO, in the treatment of wounds following perianal abscess incision and drainage, can alleviate wound edema and fluid exudation, shorten wound healing time and realize significant curative effect. |
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