本文選題：痔瘡散 + 低位單純性肛瘺�。� 參考：《遼寧中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:通過比較分析,觀察痔瘡散熏洗坐浴對(duì)低位單純性肛瘺術(shù)后創(chuàng)面影響的臨床療效。方法:選取遼寧中醫(yī)藥大學(xué)附屬醫(yī)院肛腸科2015年3月至2017年2月期間診斷為低位單純性肛瘺患者為研究對(duì)象,共60例。將所選病例隨機(jī)分為兩組,分別為術(shù)后痔瘡散熏洗坐浴組(治療組)和術(shù)后高錳酸鉀溶液熏洗坐浴組(對(duì)照組),每組各30例。將兩組的綜合療效、創(chuàng)面疼痛程度、創(chuàng)面分泌物滲出量、創(chuàng)面肉芽組織形態(tài)、肛緣水腫程度、創(chuàng)面面積愈合率及創(chuàng)面愈合時(shí)間進(jìn)行比較分析。結(jié)果:1.治療組與對(duì)照組在年齡、性別、病程和原始創(chuàng)面面積上比較均無統(tǒng)計(jì)學(xué)差異(P0.05)。2.治療組與對(duì)照組在綜合療效方面比較,無統(tǒng)計(jì)學(xué)差異(P0.05)。3.治療組與對(duì)照組在疼痛程度和肛緣水腫程度的比較中,術(shù)后第3、7天比較時(shí)具有顯著性差異(P0.01),第14天時(shí),無統(tǒng)計(jì)學(xué)差異(P0.05)。4.治療組與對(duì)照組在創(chuàng)面分泌物滲出量的比較中,術(shù)后第3、7天比較時(shí)具有統(tǒng)計(jì)學(xué)差異(P0.05),第14天時(shí),無統(tǒng)計(jì)學(xué)差異(P0.05)。5.治療組與對(duì)照組在創(chuàng)面肉芽組織形態(tài)的比較中,術(shù)后第3、7、14天時(shí)均有統(tǒng)計(jì)學(xué)差異(P0.05)。6.治療組與對(duì)照組在創(chuàng)面面積愈合率的比較中,術(shù)后第3天時(shí),無統(tǒng)計(jì)學(xué)差異(P0.05),而在第7、14天時(shí)有統(tǒng)計(jì)學(xué)差異(P0.05)。7.治療組與對(duì)照組在創(chuàng)面愈合時(shí)間方面的比較中,有統(tǒng)計(jì)學(xué)差異(P0.05)。結(jié)論:1.痔瘡散熏洗坐浴配合一效膏外敷與高錳酸鉀溶液熏洗坐浴配合一效膏外敷,對(duì)促進(jìn)低位單純性肛瘺術(shù)后創(chuàng)面恢復(fù)均有較好的臨床療效。2.與高錳酸鉀溶液熏洗坐浴配合一效膏外敷相比,痔瘡散熏洗坐浴配合一效膏外敷在低位單純性肛瘺術(shù)后早期,能夠明顯減輕患者的創(chuàng)面疼痛感、肛緣水腫及減少創(chuàng)面的分泌物滲出量,且在術(shù)后整個(gè)病程中能夠加快創(chuàng)面肉芽組織的生長(zhǎng)速度,促進(jìn)創(chuàng)面愈合。3.與高錳酸鉀溶液熏洗坐浴配合一效膏外敷相比,痔瘡散熏洗坐浴配合一效膏外敷在低位單純性肛瘺術(shù)后,能夠明顯提高創(chuàng)面愈合率,縮短創(chuàng)面愈合時(shí)間。
[Abstract]:Objective: to observe the clinical effect of hemorrhoids powder fumigation and sitting bath on postoperative wound of low simple anal fistula. Methods: from March 2015 to February 2017, 60 patients with low simple anal fistula were selected from Department of anal and Enterology, affiliated Hospital of Liaoning University of traditional Chinese Medicine. The selected cases were randomly divided into two groups: postoperative hemorrhoid powder fumigation and sitting bath group (treatment group) and potassium permanganate solution fumigation and sitting bath group (control group, 30 cases in each group). The comprehensive curative effect, the degree of wound pain, the exudation of wound secretion, the morphology of granulation tissue, the degree of anal edema, the rate of wound area healing and the wound healing time were compared between the two groups. The result is 1: 1. There was no significant difference in age, sex, course of disease and original wound area between the treatment group and the control group. The treatment group and the control group in the comprehensive efficacy, there is no statistical difference (P 0.05). 3. In the comparison of pain degree and anal edematosis between the treatment group and the control group, there was a significant difference between the treatment group and the control group on the 3rd day after operation (P 0.01), and on the 14th day, there was no significant difference (P 0.05). In the comparison of the exudation of wound secretion between the treatment group and the control group, there was a statistical difference between the treatment group and the control group on the 3rd day after operation (P 0.05), and on the 14th day, there was no statistical difference (P 0.05). In the comparison of granulation tissue morphology between the treatment group and the control group, there was a statistical difference between the treatment group and the control group at 714 days after operation. In the comparison of wound area healing rate between the treatment group and the control group, there was no significant difference on the 3rd day after operation (P 0.05), but there was a significant difference at the 714 day (P 0.05). There was significant difference in wound healing time between the treatment group and the control group (P 0.05). Conclusion 1. Hemorrhoids powder fumigation and sitting bath combined with one effect ointment and potassium permanganate solution fumigation and sitting bath combined with one effect ointment had good clinical effect on promoting the recovery of low simple anal fistula after operation. Compared with potassium permanganate solution fumigation and sitting bath combined with one effect ointment external application, hemorrhoids powder fumigation and sitting bath combined with one effect ointment external application in the early stage of low simple anal fistula can obviously reduce the pain of the wound of the patients. The edema of anal margin and the decrease of exudation of wound secretion can accelerate the growth rate of granulation tissue and promote wound healing during the whole course of operation. Compared with potassium permanganate solution fumigation and sitting bath combined with one effect ointment external application, hemorrhoids powder fumigation and sitting bath combined with one effect ointment external application in low simple anal fistula can obviously improve wound healing rate and shorten wound healing time.
【學(xué)位授予單位】：遼寧中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R266

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