[1]鄧云華.手術聯合康復新液治療肛周膿腫的療效[J].醫學信息,2019,(22):150-151.[doi:10.3969/j.issn.1006-1959.2019.21.051]
 DENG Yun-hua.Therapeutic Effect of Combined Surgery and Rehabilitation Fluid on Perianal Abscess[J].Medical Information,2019,(22):150-151.[doi:10.3969/j.issn.1006-1959.2019.21.051]
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手術聯合康復新液治療肛周膿腫的療效()
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醫學信息[ISSN:1006-1959/CN:61-1278/R]

卷:
期數:
2019年22期
頁碼:
150-151
欄目:
中醫中藥
出版日期:
2019-11-15

文章信息/Info

Title:
Therapeutic Effect of Combined Surgery and Rehabilitation Fluid on Perianal Abscess
文章編號:
1006-1959(2019)22-0150-02
作者:
鄧云華
(撫州市東鄉區中醫院普外科,江西 撫州 331800)
Author(s):
DENG Yun-hua
(Department of General Surgery,Dongxiang District Traditional Chinese Medicine Hospital,,Fuzhou 331800,Jiangxi,China)
關鍵詞:
肛周膿腫手術康復新液
Keywords:
Perianal abscessSurgeryRehabilitation fluid
分類號:
R657.1+5
DOI:
10.3969/j.issn.1006-1959.2019.21.051
文獻標志碼:
A
摘要:
目的 觀察手術聯合康復新液治療肛周膿腫的臨床療效。方法 選取2016年6月~2019年6月撫州市東鄉區中醫院收治的肛周膿腫患者62例。按照隨機數字表法分為對照組和觀察組,各31例。兩組均接受肛周膿腫手術治療,對照組術后采用生理鹽水清洗創面,觀察組術后采用康復新液清洗創面。比較兩組臨床療效、創面愈合時間、拔管引流時間、住院時間、術后不同時間疼痛程度(VAS評分)以及并發癥發生率。結果 治療后觀察組總有效率為96.77%,高于對照組的80.65%,但差異無統計學意義(P>0.05);觀察組拔管引流時間、創面愈合時間、住院時間均較對照組短,差異有統計學意義(P<0.05);觀察組術后2、7、14 d的VAS評分均低于對照組,差異有統計學意義(P<0.05);觀察組術后并發癥發生率為6.45%,低于對照組的19.35%,但差異無統計學意義(P>0.05)。結論 肛周膿腫患者術后采用康復新液清洗,可有效促進切口創面愈合,提高臨床療效,減輕患者痛苦,減少并發癥發生。
Abstract:
Objective To observe the clinical efficacy of surgery combined with rehabilitation fluid in the treatment of perianal abscess. Methods 62 patients with perianal abscess admitted to the anorectal department of TCM Hospital of Dongxiang District, Fuzhou City from June 2016 to June 2019 were enrolled. According to the random number table method, they were divided into two groups, 31 cases in each group. Both groups received surgical treatment of perianal abscess. The control group was treated with normal saline to clean the wound. The observation group was treated with rehabilitation fluid to clean the wound. The clinical efficacy, wound healing time, extubation drainage time, hospitalization time, postoperative pain degree (VAS score) and complication rate were compared between the two groups. Results After treatment, the total effective rate was 96.77%, which was higher than that of the control group 80.65%, but the difference was not statistically significant (P>0.05). The time of extubation drainage, wound healing time and hospitalization time in the observation group were shorter than the control group,the difference was statistically significant (P<0.05). The VAS scores of the observation group were lower than those of the control group at 2, 7 and 14 d after operation,the difference was statistically significant (P<0.05). The postoperative complication rate was 6.45% in the observation group, which was lower than that in the control group 19.35%, but the difference was not statistically significant (P>0.05). Conclusion Patients with perianal abscess are treated with rehabilitation fluid,which can effectively promote the rapid healing of wound wounds, improve clinical efficacy, reduce patient suffering and reduce complications.

參考文獻/References:

[1]Choi YS,Kim DS,Lee DH,et al.Clinical Characteristics and Incidence of Perianal Diseases in Patients With Ulcerative Colitis[J].Annals of Coloproctology,2018,34(3):138-143. [2]劉越軍,王新策,劉振生,等.減/低壓引流根治術治療高位肛周膿腫的臨床研究[J].中國綜合臨床,2018,34(1):30-33. [3]宋順心.美國結直腸外科醫師學會肛周膿腫、肛瘺和直腸陰道瘺臨床診治指南[J].中華胃腸外科雜志,2017,20(12):1437-1439. [4]徐民民,竺平,王浩,等.單中心139例克羅恩病肛瘺的臨床特征分析[J].中國普外基礎與臨床雜志,2018,25(10):1176-1182. [5]Chen Y,Wang X,Jin H,et al.Feasibility investigation of three cavity clearance in treatment of perianal abscess[J].Chinese Journal of Gastrointestinal Surgery,2016,19(4):442.

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更新日期/Last Update: 2019-11-15
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