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中医辨证分型治疗肛周脓肿合并糖尿病术后患者的效果分析 被引量:3

Analysis on the effect of the treatment of perianal abscess with diabetes mellitus by traditional Chinese medicine syndrome differentiation
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摘要 目的 分析肛周脓肿合并糖尿病术后患者实施中医辨证分型治疗的应用价值。方法 60例肛周脓肿合并糖尿病患者,随机分为对照组及观察组,每组30例。两组均实施肛周脓肿根治术,对照组术后采用常规治疗,观察组术后采用中医辨证分型治疗。比较两组治疗效果、并发症发生率、各项临床指标及生活质量评分。结果 观察组患者治疗总有效率为96.67%,高于对照组的73.33%,并发症发生率为3.33%,低于对照组的26.67%,差异有统计学意义(P<0.05)。观察组患者创面愈合时间(26.49±4.79)d、渗液消失时间(9.28±2.29)d、疼痛缓解时间(8.36±3.24)d均短于对照组的(38.35±5.91)、(13.26±3.08)、(15.19±2.37)d,差异有统计学意义(P<0.05)。治疗后,两组患者社会关系、精神状态、躯体功能、生理功能评分均高于本组治疗前,且观察组患者社会关系、精神状态、躯体功能、生理功能评分分别为(60.53±4.64)、(62.37±3.67)、(65.23±2.47)、(69.69±4.48)分,高于对照组的(49.32±6.48)、(51.18±5.08)、(52.64±4.33)、(48.34±3.47)分,差异有统计学意义(P<0.05)。结论 在肛周脓肿合并糖尿病患者术后治疗工作中开展中医辨证分型治疗,患者创面愈合时间有效缩短,并发症明显减少,生活质量显著提升,很大程度上提高了治疗水平。 Objective To analyze the application value of traditional Chinese medicine syndrome differentiation for the treatment of postoperative patients with perianal abscess and diabetes mellitus.Methods A total of 60 patients with perianal abscess and diabetes mellitus were randomly divided into control group and observation group,with 30 cases in each group.Radical resection of perianal abscess was performed in both groups.The control group received conventional treatment after surgery,and the observation group received traditional Chinese medicine syndrome differentiation and treatment.The therapeutic effect,incidence of complications,clinical indexes,and quality of life score were compared between the two groups.Results The total effective rate of the observation group was 96.67%,which was higher than that of 73.33%of the control group,and the incidence of complications in the observation group was 3.33%,which was lower than that of 26.67%in the control group,and the difference was statistically significant(P<0.05).The observation group had wound healing time of(26.49±4.79)d,effusion disappearance time of(9.28±2.29)d and pain relief time of(8.36±3.24)d,which were shorter than those of(38.35±5.91),(13.26±3.08)and(15.19±2.37)d in the control group,and the differences were statistically significant(P<0.05).After treatment,the scores of social relationship,mental state,physical function and physiological function in the two groups were higher than those before treatment in this group;the scores of social relationship,mental state,physical function and physiological function in the observation group were(60.53±4.64),(62.37±3.67),(65.23±2.47)and(69.69±4.48)points,which were higher than those of(49.32±6.48),(51.18±5.08),(52.64±4.33),(48.34±3.47)points in the control group;the differences were statistically significant(P<0.05).Conclusion In the treatment of perianal abscess with diabetes mellitus,traditional Chinese medicine syndrome differentiation can effectively shorten the wound healing time,significantly reduce complications,significantly improve the quality of life,and improve the treatment level to a great extent.
作者 刘晓晓 LIU Xiao-xiao(Xuzhou Traditional Chinese Medicine Hospital,Xuzhou 221000,China)
机构地区 徐州市中医院
出处 《中国现代药物应用》 2023年第8期130-132,共3页 Chinese Journal of Modern Drug Application
关键词 糖尿病 肛周脓肿 中医辨证分型 治疗效果 并发症 应用价值 Diabetes mellitus Perianal abscess Traditional Chinese medicine syndrome differentiation Therapeutic effect Complications Application value
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