CAJ | 학술논문

目的：观察自拟生肌汤治疗肛周脓肿术后合并糖尿病的临床疗效。方法：收集肛周脓肿术后合并糖尿病患者102例，随机分为两组，试验组51例采用常规手术结合INS（胰岛素）治疗，术后结合自拟生肌汤坐浴治疗；对照组51例采用常规手术结合INS治疗，术后只进行常规治疗护理，疗程结束后，对比观察两组肛门疼痛改善情况、创面渗液消失时间、创面愈合时间和临床疗效。结果：试验组肛门疼痛改善、创面渗液消失时间、创面愈合时间和临床疗效均优于对照组，差异有统计学意义（P＜0.05）。结论：肛周脓肿术后合并糖尿病患者换药过程中使用自拟生肌汤局部坐浴有明显缓解疼痛、减少出血、减轻水肿、减少分泌物、加速创面愈合的作用，且能明显降低抗生素使用率，减少住院费用，缩短住院时间，加快床位转换，临床疗效优，值得临床推广。
목적：관찰자의생기탕치료항주농종술후합병당뇨병적림상료효。방법：수집항주농종술후합병당뇨병환자102례，수궤분위량조，시험조51례채용상규수술결합INS（이도소）치료，술후결합자의생기탕좌욕치료；대조조51례채용상규수술결합INS치료，술후지진행상규치료호리，료정결속후，대비관찰량조항문동통개선정황、창면삼액소실시간、창면유합시간화림상료효。결과：시험조항문동통개선、창면삼액소실시간、창면유합시간화림상료효균우우대조조，차이유통계학의의（P＜0.05）。결론：항주농종술후합병당뇨병환자환약과정중사용자의생기탕국부좌욕유명현완해동통、감소출혈、감경수종、감소분비물、가속창면유합적작용，차능명현강저항생소사용솔，감소주원비용，축단주원시간，가쾌상위전환，림상료효우，치득림상추엄。
Objective:To evaluate the clinical efficacy of self-myogenic treated diabetic perianal abscess surgery. Methods:102 cases of patients which had perianal abscess with diabetes were randomly divided into two groups, Experimental group of 51 cases conducted the conventional surgery combined with INS(insulin) therapy. We took self-myogenic soup bath treatment perianal abscess after surgery. 51 cases in the control group just used conventional surgical treatment combined with INS and carried on conventional treatment care only after surgery. Results:Improvement in anal pain, wound exudates’ disappearance time, wound healing time and clinical outcomes in the test group are better than the control group (P<0.05). Conclusions :The usage of self -myogenic soup throughout the course of topical dressing bath does have clinical efficacy for pain relief, reduce bleeding, reduce swelling, reduce the secretion and accelerate wound healing. Since the use of self-myogenic soup , it can significantly reduce antibiotic usage, reduce hospital costs, shorter hospital stays, speed-bed conversion rate and worthy of further promotion.