首页|地奥司明辅助高频电刀肛瘘根治术治疗肛瘘患者效果观察

地奥司明辅助高频电刀肛瘘根治术治疗肛瘘患者效果观察

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目的:探究地奥司明辅助高频电刀肛瘘根治术对肛瘘患者的具体影响.方法:选取2021年4 月—2023 年 1 月抚州市临川区中医院收治的 62 例肛瘘患者.按照随机数字表法将其分为两组,各31 例.对照组采用高频电刀肛瘘根治术治疗,观察组采用地奥司明辅助高频电刀肛瘘根治术治疗,两组持续随访 1 个月.对比两组肛门功能、创面愈合时间、创面渗液时间、住院时间、生活质量和感染发生率.结果:治疗前,两组肛门功能、生活质量评分比较,差异均无统计学意义(P>0.05);治疗后观察组Wexner评分为(5.52±0.78)分,低于对照组的(7.41±1.15)分,差异有统计学意义(P<0.05);观察组创面愈合时间(16.54±1.71)d、创面渗液时间(8.08±1.13)d、住院时间(11.51±1.82)d,均短于对照组的(23.45±2.58)、(12.78±1.51)、(15.21±2.21)d,差异均有统计学意义(P<0.05);治疗后,观察组生活质量评分为(83.88±3.92)分,低于对照组的(72.03±3.26)分,差异有统计学意义(P<0.05);观察组创面感染发生率为 3.23%(1/31),低于对照组的 25.81%(8/31),差异有统计学意义(P<0.05).结论:地奥司明辅助高频电刀肛瘘根治术治疗肛瘘患者效果显著,能够改善患者肛门功能,促进其创面愈合,减少创面感染,加快身体康复,提高生活质量.
Observation on the Effect of Diosmin Assisted High-frequency Electric Knife Anal Fistula Radical Resection in Patients with Anal Fistula
Objective:To explore the specific impact of Diosmin assisted high-frequency electric knife anal fistula radical resection on patients with anal fistula.Method:A total of 62 patients with anal fistula admitted to Linchuan District Traditional Chinese Medicine Hospital in Fuzhou City from April 2021 to January 2023 were selected.They were divided into two groups according to random number table method,with 31 cases in each group.The control group was treated with high-frequency electric knife anal fistula radical resection,while the observation group was treated with Diosmin assisted high-frequency electric knife anal fistula radical resection.Both groups were followed up for 1 month.Anal function,wound healing time,wound exudation time,hospital stay,quality of life and incidence of infection were compared between the two groups.Result:Before treatment,there were no statistically significant differences in anal function and quality of life scores between the two groups(P>0.05).After treatment,Wexner score in the observation group was(5.52±0.78)points,which was lower than(7.41±1.15)points in the control group,the difference was statistically significant(P<0.05).Wound healing time[(16.54±1.71)d],wound exudation time[(8.08±1.13)d]and hospitalization time[(11.51±1.82)d]in the observation group were shorter than those in the control group[(23.45±2.58),(12.78±1.51)and(15.21±2.21)d],the differences were statistically significant(P<0.05).After treatment,the quality of life score of the observation group was(83.88±3.92)points,which was lower than(72.03±3.26)points of the control group,the difference was statistically significant(P<0.05).The incidence of the wound infection in the observation group was 3.23%(1/31),which was lower than 25.81%(8/31)in the control group,the difference was statistically significant(P<0.05).Conclusion:Diosmin assisted high-frequency electric knife anal fistula radical resection has a significant effect on treating anal fistula patients,which can improve anal function,promote wound healing,reduce wound infection,accelerate physical recovery,and improve quality of life.

Anal fistulaDiosminHigh-frequency electric knife anal fistula radical resectionAnal functionWound healingInfect

陈小明、程高才

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抚州市临川区中医院普外科 江西 抚州 344100

肛瘘 地奥司明 高频电刀肛瘘根治术 肛门功能 创面愈合 感染

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(9)
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