中药坐浴治疗肛瘘术后60例

Clinical Observation on TCM Hip Bath for 60 Patients after the Surgery of Anal Fistula

目的:观察常规使用头孢唑啉钠、创面清洁换药联合通络活血,清热解毒之中药坐浴治疗肛瘘术后患者的临床疗效。方法:将120例肛瘘术后患者随机分为观察组、对照组各60例,2组术后立即给予头孢唑啉钠,术后第2天行创面清洁换药。观察组在对照组治疗的基础上于患者排便后给予中药坐浴,15 min/次。2组均以治疗7天为1个疗程,治疗2个疗程后评价疗效并观察2组疼痛、水肿、创面渗出物消失时间,创面愈合时间。结果:总有效率观察组为93.33%,对照组为76.67%,2组相比差异有统计学意义(P<0.05)。疼痛、水肿、创面渗出物消失时间,创面愈合时间观察组均短于对照组,2组相比差异有统计学意义(P<0.05)。结论:在常规使用头孢唑啉钠、创面清洁换药等常规治疗的基础上给予通络活血,清热解毒之中药坐浴,有助于提高肛瘘术后临床疗效,缩短疼痛、水肿、创面渗出物消失时间及创面愈合时间。

Objective：To observe cefazolin sodium, wound cleaning, changing the dressing and hip bath with herbs of freeing collaterals, activating blood, heat clearing and detoxifying in treating the patients after the surgery of anal fistula. Method： All 120 patients were randomized into the observation group and the control group. Both groups took cefazolin sodium after the surgery immediately, received wound cleaning and dressing changing at the 2nd day after the surgery. The patients in the observation group were given with hip bath after defection, 15min each time. Seven days were one course of treatment , clinical effects were assessed after two courses of treatment, disappearing time of wound exudates, the pain and edema, healing time of wound in both groups were observed. Result： Total effective rate of the observation group was 93.33%, higher than 76.67% of the control group, the difference between both groups had statistical meaning（P〈0.05）. The observation group was shorter than the control group in disappearing time of wound exudates, the pain and edema, healing time of wound, the difference had statistical meaning（P〈0.05）. Conclusion：Hip bath of herbs of freeing collaterals, activating blood, heat clearing and detoxifying could improve clinical effects, shorten disappearing time of wound exudates, the pain and edema, healing time of wound on the foundation of routine treatment of cefazolin sodium, wound cleaning, changing the dressing.