不同中药坐浴方案治疗肛周疾病术后肛门水肿临床研究.docVIP

不同中药坐浴方案治疗肛周疾病术后肛门水肿的临床研究 　　[摘要] 目的 探?不同中药坐浴方案在肛周疾病术后肛门水肿中的治疗效果。 方法 选取在我院肛肠科治疗的肛周疾病术后并发肛门水肿患者160例为研究对象，根据坐浴的温度及频次分为A、B、C、D四组，每组40例。A组每天早上坐浴1次，温度37℃；B组每天早上坐浴1次，温度42℃；C组每天早上、晚上各坐浴一次。温度37℃；D组每天早上、晚上各坐浴一次，温度42℃。观察术后疼痛程度、创面愈合情况、皮肤不良反应、临床疗效。 结果 D组患者总有效率95.0%，显著高于A、B、C三组患者（P0.05）。 结论 针对肛周疾病术后并发肛门水肿患者采用自拟参花洗剂方给予每天早晚2次坐浴，坐浴温度设置为42℃左右能够有效促进水肿的消退，缓解患者的疼痛程度，具有较好的治疗效果，值得进一步研究推广。 　　[关键词] 中药坐浴；肛周疾病；肛门水肿；疼痛程度 　　[中图分类号] R248.2 [文献标识码] B [文章编号] 1673-9701（2017）27-0124-03 　　Clinical study on different Chinese medicine bathing regimen in the treatment of anal edema after the surgery of perianal disease 　　MA Jing ZHENG Chenguo CHEN Aihua 　　Department ot Anorectal， the Second Affiliated Hospital of Wenzhou Medical University， Wenzhou 325027， China 　　[Abstract] Objective To explore the therapeutic effect of different Chinese medicine bathing regimen on anal edema after the surgery perianal disease. Methods A total of 160 patients with anal edema after the surgery of perianal diseases who were treated in the Department of Proctology in our hospital were selected as the research subjects. According to the bathing temperature and frequency， the patients were divided into A， B， C， D four groups， with 40 patients in each group. Group A was given bathing once every morning， with the temperature of 37℃； group B was given bathing once every morning， with the temperature of 42℃； group C was given bathing once every morning and every night， with the temperature of 37 ℃； group D was given bathing once every morning and every night， with the temperature of 42℃. The degree of postoperative pain， wound healing， skin adverse reactions， and clinical efficacy were observed. Results The total effective rate was 95.0% in group D， which was significantly higher than that in group A， B and C（P0.05）. Conclusion The bathing once every morning and every night by self-made Shenhua lotion for the patients with anal edema after the surgery of perianal diseases， with the bathing temperature of 42℃ or so， can