首页|促愈汤熏洗坐浴对肛瘘术后患者创面愈合、症状消失时间的影响

促愈汤熏洗坐浴对肛瘘术后患者创面愈合、症状消失时间的影响

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目的:探讨促愈汤熏洗坐浴在肛瘘患者术后护理中的效果及对患者创面愈合、症状消失时间的影响。方法:选择 2022 年 6 月—2023 年 5 月贵州中医药大学第一附属医院收治的 480 例肛瘘患者,以随机数表法分为两组,各 240 例。对照组采取常规措施,观察组在对照组基础上采取促愈汤熏洗坐浴,两组均干预 2 周。比较两组创面愈合率、症状消失时间、创面面积、创面疼痛、血清血管内皮生长因子(VEGF)、碱性成纤维细胞生长因子(bFGF)水平。结果:两组干预 2 周后创面愈合率均高于干预 1 周后,观察组干预 1 周、2 周后的创面愈合率较对照组高,差异有统计学意义(P<0。05)。观察组红肿消失时间、脓性分泌物消失时间及腐肉脱落时间早于对照组,差异有统计学意义(P<0。05)。干预后,两组创面面积均缩小,且观察组小于对照组,两组视觉模拟评分法(VAS)评分均降低,且观察组低于对照组,差异有统计学意义(P<0。05)。干预后,两组VEGF、bFGF水平均升高,且观察组高于对照组,差异有统计学意义(P<0。05)。结论:促愈汤熏洗坐浴可显著促进肛瘘术后患者创面愈合,加快症状消退,减轻创面疼痛感。
Effect of Cuyu Decoction Fumigation and Washing Sitz Baths on Wound Healing and Symptom Disappearance Time in Postoperative Patients with Anal Fistula
Objective:To explore the effect of Cuyu Decoction fumigating and washing sitz baths on postoperative nursing of patients with anal fistula and its influence on wound healing and symptom disappearance time.Method:A total of 480 patients with anal fistula admitted to the First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine from June 2022 to May 2023 were selected,and they were divided into two groups by random number table method,with 240 cases in each group.The control group was treated with routine measures,and the observation group was treated with Cuyu Decoction fumigating and washing sitz baths on the basis of the control group,both groups were treated for 2 weeks.The wound healing rate,symptom disappearance time,wound area,wound pain,serum vascular endothelial growth factor(VEGF)and basic fibroblast growth factor(bFGF)levels were compared between the two groups.Result:The wound healing rate of the two groups after 2 weeks of intervention were higher than those after 1 week of intervention,the wound healing rate of the observation group after 1 week and 2 weeks of intervention were higher than those of the control group,the differences were statistically significant(P<0.05).The disappearance time of redness,purulent secretion and rotting flesh in the observation group were earlier than those in the control group,the differences were statistically significant(P<0.05).After intervention,the wound area of both groups were reduced,and the observation group was smaller than the control group,and the visual analogue scale(VAS)score of both groups were decreased,and the observation group was lower than the control group,the differences were statistically significant(P<0.05).After intervention,the levels of VEGF and bFGF were increased in both groups,and the observation group were higher than the control group,the differences were statistically significant(P<0.05).Conclusion:Cuyu Decoction fumigating and washing sitz baths can significantly promote wound healing,accelerate symptom resolution,and alleviate wound pain in patients after anal fistula surgery.

Anal fistulaCuyu Decoction fumigating and washing sitz bathsWound healingWound pain

李萍、杨桃、冯琳、张芳

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贵州中医药大学第一附属医院 贵州 贵阳 550002

肛瘘 促愈汤熏洗坐浴 创面愈合 创面疼痛

贵州省中医药局中医药、民族医药科学技术研究课题

QZYY-2023-119

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(8)
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