首页|复方黄柏液熏洗结合三间隙引流术治疗肛周脓肿34例疗效观察

复方黄柏液熏洗结合三间隙引流术治疗肛周脓肿34例疗效观察

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目的:观察肛周脓肿患者应用复方黄柏液熏洗结合三间隙引流术治疗的临床效果。方法:将2021年10月至2023年10月我院收治的68例肛周脓肿患者随机分为单纯手术组和中药组,每组34例。单纯手术组患者采用三间隙引流术治疗,中药组患者采用三间隙引流术结合复方黄柏液熏洗治疗,比较2组患者的疗效,术后2 d、5 d、8 d患者疼痛评分以及创面愈合时间,治疗前后患者生活质量评分以及术后并发症发生率。结果:中药组患者治疗总有效率高于单纯手术组(P<0。05);术后2 d、5 d、8 d中药组患者疼痛评分低于单纯手术组(P<0。05),创面愈合时间短于单纯手术组(P<0。05);治疗前2组患者生活质量评分比较差异无统计学意义(P>0。05),治疗后2组患者生活质量评分均提升,且中药组高于单纯手术组(P<0。05);中药组患者术后无出血、感染等,单纯手术组患者出现水肿2例,出血、感染各1例,并发症发生率为11。76%(4/34),2组比较差异有统计学意义(P<0。05)。结论:肛周脓肿患者应用复方黄柏液熏洗结合三间隙引流术治疗效果较好,患者术后恢复快,并发症少,疼痛轻,生活质量明显改善。
Clinical Efficacy of Fumigation and Washing of Compound Huangbai Liquid Combined with Three-Space Drainage in Treating 34 Cases of Perianal Abscess
Objective To observe the clinical effect of fumigation and washing of Compound Huangbai Liquid combined with three-space drainage in treating perianal abscess.Methods Total 68 patients with perianal abscess admitted to our hospital from October 2021 to October 2023 were randomly divided into operation group and traditional Chinese medicine(TCM)group,with 34 cases in each group.Patients in the operation group were treated with three-space drainage,while patients in the TCM group were treated with three-space drainage combined with fumigation and washing of Compound Huangbai Liquid.The effi-cacy,pain scores and wound healing time of the patients on the 2nd,5th and 8th days after operation,the scores of the patients'quality of life(QOL)before and after treatment,and the incidence of postoperative complications were compared between the two groups.Results The total effective rate of the TCM group was higher than that of the operation group(P<0.05).On the 2nd,5th and 8th days after opera-tion,the pain scores of the TCM group were lower than those of the operation group(P<0.05),and the wound healing time was shorter than that of the operation group(P<0.05).There was no significant difference in QOL scores between the two groups before treatment(P>0.05),and the QOL scores of both groups were improved after treatment,which were higher in the TCM group than in the operation group(P<0.05).In the TCM group,there was no postoperative bleeding or infection,while in the op-eration group,edema occurred in two cases,hemorrhage and infection in one case,and the complication rate was 11.76%(4/34).The difference between the two groups was statistically significant(P<0.05).Conclusion Treatment of perianal abscess with fumigation and washing of Compound Huangbai Liquid combined with three-space drainage is effective.The postoperative recovery of patients is fast,with less complications and pain,and QOL is obviously improved.

Perianal abscessFumigation and washing of Compound Huangbai LiquidThree-space drainageClinical efficacy

晋大伟、赵金丽

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禹州市人民医院(河南禹州 461670)

肛周脓肿 复方黄柏液熏洗 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(7)