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肛周脓肿及肛瘘术后不使用抗菌药物的可行性研究

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目的:探索和讨论肛周脓肿及肛瘘手术患者术后不使用抗菌药物的可行性。方法:选取2021年11月至2022年11月,本院60例肛周脓肿及肛瘘手术患者,随机分为观察组及对照组,每组各30例。观察组术后采用中药熏洗坐浴、换药及红外线理疗等综合治疗,对照组术后常规使用抗菌药物3~5 d。观察患者术后体温变化、疗效、住院时间及术后感染等情况。结果:2组在治愈率、术后感染、体温变化、白细胞及中性粒细胞变化方面比较,差异无统计学意义(P>0。05)。在住院时间及住院费用方面,观察组优于对照组,差异有统计学意义(P<0。05)。结论:肛周脓肿及肛瘘手术患者术后采用中药熏洗坐浴、换药及红外线理疗等综合治疗,不使用抗菌药物是可行的。
Feasibility of Treating Postoperative Perianal Abscess and Anal Fistula Without Using Antibiotics
Objective To explore and analyze the feasibility of treating postoperative patients with peri-anal abscess and anal fistula without using antibiotics.Methods From November 2021 to November 2022,total 60 postoperative patients with perianal abscess and anal fistula in our hospital were randomly divided into the observation group and the control group,with 30 cases in each group.The observation group was treated with Chinese medicinal fumigation,washing and sitz-bath,dressing change and infrared physiotherapy,while the control group was treated with conventional antibiotics for 3-5 days.The postop-erative temperature change,efficacy,length of hospital stay and postoperative infection were observed.Results There was no significant difference in cure rate,postoperative infection,temperature change,leu-kocyte and neutrophil changes between the two groups(P>0.05).The observation group was better than the control group in terms of hospitalization time and hospitalization cost,and the difference was sta-tistically significant(P<0.05).Conclusion It is feasible to treat the postoperative patients with peri-anal abscess and anal fistula by using Chinese medicinal fumigation,washing and sitz-bath,dressing change and infrared physiotherapy without using antibiotics.

Perianal abscessAnal fistulaWithout using antibioticsEfficacy

谢德正、何玉科、朱映蓉、曹乾榕、刘娟

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云南省文山州砚山县中医医院肛肠科(云南 文山 663100)

肛周脓肿 肛瘘 不使用抗菌药物 疗效

云南省砚山县农科局科研立项项目

WK计[2021]1306

2024

中国肛肠病杂志
中华中医药学会肛肠分会 山东中医药学会

中国肛肠病杂志

影响因子:0.131
ISSN:1000-1174
年,卷(期):2024.44(3)
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