• 湿润烧伤膏联合中药熏洗在高位复杂性肛瘘术后中的应用效果分析
  • Analysis of the application effect of moist burn ointment combined with traditional Chinese medicine fumigation in the postoperative treatment of high-level complex anal fistula
  • DOI:
    中文关键词:  湿润烧伤膏  切开挂线  中药熏蒸  中药坐浴  高位复杂性肛瘘
    英文关键词:moist burn cream  Cut the hanging line  fumigation of traditional Chinese medicine  Chinese herbal sitz bath  High complex anal fistula
    基金项目:
    作者单位邮编
    杨小雨* 南阳市第一人民医院 肛肠外科 河南南阳 473000 473000
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    中文摘要:
          【摘要】 目的 分析探讨湿润烧伤膏联合中药熏洗在高位复杂性肛瘘术后中的应用效果。方法 选取2022年3月至2024年3月收治的100例高位复杂性肛瘘患者作为研究对象,按照术后创面不同处理方法将其分为研究组和对照组,每组50例,研究组患者切开挂线术后创面采用湿润烧伤膏联合中药熏蒸及坐浴治疗,对照组患者切开挂线术后创面采用凡士林油纱换药治疗,对比两组患者术后创面水肿程度、渗出情况、肉芽组织生长情况、疼痛情况、愈合时间以及并发症发生情况。结果 术后第7天,研究组患者水肿程度、渗出情况评分均低于对照组(P均<0.05);术后第5、10、15天,研究组患者术后创面肉芽组织生长情况评分均低于对照组(P均<0.05);术后第1、3、7天,研究组患者VAS评分均明显低于对照组(P<0.05);研究组患者术后创面愈合时间明显短于对照组(P<0.05);术后3个月,研究组患者并发症发生率与对照组无明显差异(P>0.05)。结论 湿润烧伤膏联合中药坐浴熏洗治疗高位复杂性肛瘘可减轻术后创面水肿程度、渗出情况、疼痛程度,有效促进创面愈合,疗效显著。
    英文摘要:
          【Abstract】 Objective To analyze and investigate the application effect of moist burn ointment combined with traditional Chinese medicine fumigation in the postoperative treatment of high-level complex anal fistula. Methods A total of 100 patients with high-level complex anal fistula admitted from March 2022 to March 2024 were selected as the study subjects, and they were divided into the study group and the control group according to different postoperative wound treatment methods, with 50 cases in each group. Healing time and complications. Results On the 7th day after surgery, the scores of edema and exudation in the study group were lower than those in the control group (all P <0.05), and the scores of granulation tissue growth in the study group were lower than those in the control group (all < P 0.05) on the 5th, 10th and 15th days after surgery. The VAS score of the study group was significantly lower than that of the control group (P<0.05), the postoperative wound healing time of the study group was significantly shorter than that of the control group (P<0.05), and there was no significant difference in the incidence of complications between the study group and the control group at 3 months after surgery (P>0.05). Conclusion Moist burn ointment combined with traditional Chinese medicine sitz bath fumigation in the treatment of high-level complex anal fistula can reduce the degree of edema, exudation and pain of the postoperative wound, and effectively promote wound healing, with significant curative effect.