CAJ | 학술논문

目的：观察中西医治疗痔疮手术后脓肿的临床效果及安全性。方法选取148例痔疮手术后脓肿患者,采用信封法随机分为2组,每组74例。对照组采用传统肛周脓肿一次性切开引流根治术,观察组患者在对照组基础上加用中药熏洗及马应龙痔疮栓塞肛。采用VAS评分对两组患者术后1 d、3 d、7 d疼痛程度进行评估,10分为剧痛,0分为无痛。观察两组患者术后局部创面水肿消退、术后创面愈合时间及治疗期间不良反应发生情况。结果两组患者术后第1天的VAS评分比较差异无统计学意义；术后第3天、第7天时,观察组VAS评分均明显低于对照组,两组比较差异有统计学意义( P<0．05)。观察组患者术后局部创面水肿消退及术后创面愈合时间分别为(20．5±4．2)、(22．1±3．1) d,对照组分别为(26．7±3．5)、(27．3±3．4) d,观察组均明显短于对照组,两组比较差异有统计学意义(P<0．05)。两组患者均无肛瘘、创面大出血及感染等严重不良反应发生。结论对于痔疮手术后脓肿患者,在常规手术切开引流的基础上,配合中药熏洗及马应龙痔疮栓塞肛,可明显减轻术后疼痛,促进创面愈合,临床疗效显著。
목적：관찰중서의치료치창수술후농종적림상효과급안전성。방법선취148례치창수술후농종환자,채용신봉법수궤분위2조,매조74례。대조조채용전통항주농종일차성절개인류근치술,관찰조환자재대조조기출상가용중약훈세급마응룡치창전새항。채용VAS평분대량조환자술후1 d、3 d、7 d동통정도진행평고,10분위극통,0분위무통。관찰량조환자술후국부창면수종소퇴、술후창면유합시간급치료기간불량반응발생정황。결과량조환자술후제1천적VAS평분비교차이무통계학의의；술후제3천、제7천시,관찰조VAS평분균명현저우대조조,량조비교차이유통계학의의( P<0．05)。관찰조환자술후국부창면수종소퇴급술후창면유합시간분별위(20．5±4．2)、(22．1±3．1) d,대조조분별위(26．7±3．5)、(27．3±3．4) d,관찰조균명현단우대조조,량조비교차이유통계학의의(P<0．05)。량조환자균무항루、창면대출혈급감염등엄중불량반응발생。결론대우치창수술후농종환자,재상규수술절개인류적기출상,배합중약훈세급마응룡치창전새항,가명현감경술후동통,촉진창면유합,림상료효현저。
Objective To observe the efficacy and safety of TCM combined with western medicine treatment for hemorrhoids abscess after surgery. Methods 148 cases of patients with abscess after hemorrhoid surgery were ran-domly divided into two groups by envelope method,74 cases in each group. Patients in control group received the tradi-tional one-time perianal abscess incision and drainage radical surgery;patients in observation group were given herbal fumigation and Mayinglong hemorrhoids embolism anal on the basis of the treatment of control group. The VAS score (0~10) was used to assess the degree of pain at 1 d,3 d,7 d after operation. The postoperative local wound edema, postoperative wound healing time and the occurrence of adverse reactions during treatment were observed. Results There was no significant difference in the VAS scores at first day postoperatively between the two groups;the VAS scores of observation group was lower than that of control group at 3 d and 7 d after operation,there were significant differences between the two groups (P<0. 05). The postoperative local edema and postoperative wound healing time were (20. 5 ± 4. 2) d,(22. 1 ± 3. 1) d in observation group,and (26. 7 ± 3. 5) d,(27. 3 ± 3. 4) d in control group,there were significant differences between the two groups (P<0. 05). No fistula,wound bleeding and infection and other serious adverse reactions was found. Conclusion For patients after hemorrhoid surgery,conventional surgical incision and drainage abscess combined with herbal fumigation and Mayinglong anal hemorrhoids embolism can signifi-cantly reduce postoperative pain,promote wound healing,with obvious clinical efficacy.