超声中药熏洗对肛门病术后伤口愈合的临床疗效观察

Observation on clinical effect of postoperative wound healing in patients with anal disease treated by ultrasonic fumigation therapy with Chinese herbs.

目的观察超声中药熏洗对肛门病术后伤口愈合的临床疗效。方法肛门病手术患者315例,随机分治疗组210例,对照组105例。治疗组于手术后第2 d开始行超声中药熏洗伤口,每次10 min;对照组术后,每次排便后用1∶5 000高锰酸钾溶液坐浴10 min。两组均予坐浴后创面换药,每日1次,连续7 d。结果治疗组术后首次排便和第5、7 d的疼痛评分显著低于对照组,术后第5、7 d的肛门坠胀评分显著低于对照组,术后肛缘水肿平均积分也显著低于对照组,治疗组住院时间显著短于对照组,且满意度明显高于对照组。结论超声中药熏洗防治肛门病术后并发症安全有效,疗效优于高锰酸钾坐浴。

Objective To investigate the clinical effect on postoperative wound healing in patients with anal disease treated by ultrasonic fumigation therapy with Chinese herbs. Methods 315 patients with anal disease were randomly divided into treatment group （n=210） treated by ultrasonic fumigation therapy with Chinese herbs from second day after operation, once 10 minutes, and control group （n=105 ） treated by sitz bath with potassium permanganate solution （1：5 000）, once 10 minutes and dressing changed after sitz bath once daily for 7 days. Results The occurrence of anal pain in patients of treatment group after fist defecation at fifth day and seventh day after operation was significantly lower than that of control group, rectal tenesmus in fifth day and seventh day after operation in patients of treatment group was significantly improved, there were significant lower hospitalization time and anal edema in patients of treatment group, and the satisfaction was higher than that of control group. Conclusion Above-mentioned results demonstrated that ultrasonic fumigation therapy with Chinese herbs is safe and effective in prevention of postoperative complications, and it is superior to sitz bath with potassium permanganate solution.