首页|康复新液结合三间隙引流术治疗肛周脓肿44例疗效观察

康复新液结合三间隙引流术治疗肛周脓肿44例疗效观察

Clinical Efficacy of Kangfuxin Fluid Combined with Three-Space Drainage in Treating 44 Cases of Perianal Abscess

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目的:观察康复新液结合三间隙引流术治疗肛周脓肿的临床效果.方法:将我院2021年8月至2023年6月收治的88例肛周脓肿患者随机分为对照组和观察组,每组44例.对照组患者采用切开引流挂线术治疗,观察组患者采用康复新液结合三间隙引流术治疗,比较2组患者的疗效,术后1 d与术后7 d患者疼痛评分,术后3 d肿瘤坏死因子-α(TNF-α)及白介素-6(IL-6)、白介素-8(IL-8)水平,术后并发症,术中出血量以及创面愈合时间、住院时间、术前与术后Wexner便秘评分变化情况.结果:观察组患者总有效率高于对照组(P<0.05);术后1 d与术后7 d观察组患者的疼痛评分低于对照组(P<0.05);术后3 d,观察组患者的TNF-α、IL-6及IL-8水平均低于对照组(P<0.05);观察组患者术后并发症发生率低于对照组(P<0.05);较对照组患者,观察组患者术中出血量更少,创面愈合时间、住院时间更短(P<0.05);观察组患者术后Wex-ner便秘评分低于对照组(P<0.05).结论:康复新液结合三间隙引流术治疗肛周脓肿疗效显著,不但可以减轻患者术后疼痛,降低炎性因子水平和术后并发症发生率,而且术中出血量少,创面恢复快,患者肛门功能恢复好,值得临床推广应用.
Objective To observe the clinical efficacy of Kangfuxin Fluid combined with three-space drainage in treating perianal abscess.Methods Total 88 patients with perianal abscess admitted to our hospital from August 2021 to June 2023 were randomly divided into control group and observation group,with 44 cases in each group.The control group was treated with incision,drainage and thread-drawing sur-gery,while the observation group was treated with Kangfuxin Fluid combined with three-space drainage.The therapeutic effects of the two groups were compared,including pain scores of patients on the 1st and 7th day after surgery,levels of tumor necrosis factor-α(TNF-α),interleukin-6(IL-6)and interleukin-8(IL-8)on the 3rd day after surgery,and postoperative complications,intraoperative blood loss,wound heal-ing time,hospital stay,Wexner constipation score before and after surgery.Results The total effective rate of the observation group was higher than that of the control group(P<0.05).The pain scores of the observation group were lower than those of the control group on the 3rd day after surgery(P<0.05).Three days after surgery,the levels of TNF-α,IL-6 and IL-8 in the observation group were lower than those in the control group(P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group(P<0.05).Compared with the control group,the obser-vation group had less intraoperative blood loss,shorter wound healing time and hospital stay(P<0.05).Postoperative Wexner constipation score in the observation group was lower than that in the control group(P<0.05).Conclusion Kangfuxin Fluid combined with three-space drainage is effective in the treat-ment of perianal abscess,which can not only alleviate postoperative pain,reduce the levels of inflammatory factors and the incidence of postoperative complications,but also reduce the amount of intraoperative blood loss and promote the recovery of wound and anal function of patients,which is worthy of clinical promotion and application.

Perianal abscessKangfuxin FluidThree-space drainageClinical efficacy

李辰、何新立、叶鹏飞、席岚岚、张乐乐、赵文召

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河南科技大学第一附属医院临床医学院(河南洛阳 471000)

肛周脓肿 康复新液 三间隙引流术 疗效观察

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(4)
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