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脉络舒通丸在低位肛瘘患者术后的应用效果观察

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目的:观察脉络舒通丸在低位肛瘘患者术后的应用效果。方法:选取2024年1月至4月哈尔滨市第一医院收治的低位肛瘘患者76例作为研究对象,均行手术治疗。按照简单随机化分组将患者分为对照组(n=41)和观察组(n=35)。对照组患者行肛瘘切开挂线术;观察组患者在对照组诊疗的基础上,于术后6 h给予脉络舒通丸口服,4 g/次,3次/d,连服7 d。对比2组术后第1、4、7天疼痛视觉模拟评分(VAS)及血清降钙素原(PCT)、C反应蛋白(CRP)、住院时间、痊愈时间、疗效。结果:术后第1、4、7天,观察组VAS及血清PCT、CPR水平均低于对照组(均P<0。05)。观察组住院时间、痊愈时间均短于对照组(均P<0。05)。2组临床疗效比较,观察组疼痛程度较对照组减轻,炎症水平低于对照组,住院时间和平均愈合时间少于对照组。结论:低位肛瘘术后应用脉络舒通丸可减轻患者疼痛程度,缓解炎症反应,缩短治愈时间,显示出良好的安全性和耐受性。脉络舒通丸在促进低位肛瘘术后患者的快速康复方面具有显著的疗效,且安全性良好,值得在临床实践中进一步推广。
Application Effect of Mailuoshutong Pills in Patients after Low Anal Fistula Surgery
Objective:This study observed the application effect of Mailuoshutong Pills in patients after low anal fistula surgery.Methods:The study selected a total of 76 patients with low anal fistula admitted to the First Hospital of Harbin from January 2024 to April 2024.They all received surgery.The patients were grouped into the observation group(n=35)and control group(n=41)according to simple randomization grouping.The control group adopted the therapy of cutting with thread ligation,while the observa-tion group orally took 4 g of Mailuoshutong Pills six hours after the therapy of cutting with thread ligation,three times per day for seven days.The visual analog scale(VAS),procalcitonin(PCT),and C-reactive protein(CRP),hospital stays,recovery time,and curative effect of the two groups were recorded on the 1st,4th,and 7th days after the surgery.Results:On the 1st,4th,and 7th days after the surgery,VAS,serum PCT,and CPR levels in the observation group were lower than those in the control group(all P<0.05).The hospital stays and recovery time of the observation group were shorter than those of the control group(all P<0.05).In terms of clinical efficacy,the pain degree of the observation group was weaker than that of the control group,and the level of inflam-mation was lower than that of the control group.The hospital stays and average recovery time of the observation group were lower than those of the control group.Conclusion:The application of Mailuoshutong Pills in patients after low anal fistula surgery can re-duce subjective pain,alleviate inflammatory responses,and shorter recovery time,with good high and tolerability.Mailuoshutong Pills have significant efficacy and high safety in promoting the rapid recovery of patients after low anal fistula surgery,which is wor-thy of further promotion in clinical practice.

Low anal fistulaMailuoshutong PillVisual analog scaleProcalcitoninC-reactive proteinRecovery timeTherapy of cutting with thread ligationClinical efficacy

战学雷、张志强、喻航、王孟奇、江春涛

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哈尔滨市第一医院普外二科,哈尔滨,150010

低位肛瘘 脉络舒通丸 视觉模拟评分 降钙素原 C反应蛋白 住愈时间 肛瘘切开挂线术 临床疗效

2024

世界中医药
世界中医药学会联合会

世界中医药

CSTPCDCHSSCD北大核心
影响因子:1.266
ISSN:1673-7202
年,卷(期):2024.19(20)