中药熏洗防治肛门病术后水肿的临床研究

Prevention ＆ Treatment of Postoperative Edema in Anal Disease with Chinese Medicine Fuming ＆ Washing： Clinical Research

通过不同的中药熏洗时间、熏洗温度对肛门病术后水肿疗效的观察，寻找适合肛门病术后水肿的最佳熏洗方法。将300例肛门病术后患者按水肿发生时间分为A组和B组，每组根据熏洗时间长短随机分为3组，各组50例。观察采用不同药液温度、熏洗时间各组水肿恢复情况，比较各组的临床效果。结果显示，患者经采用不同熏洗时间、不同药液温度的中药熏洗护理后，各组总有效率为A176％、Az96％、A376％、B160％、B292％、B378％，A2组、B2组疗效及疼痛水肿消退程度均优于其他各组（P〈0．05）。结果表明，早期使用适宜药液温度（43±2）℃、适宜熏洗时间（15min）的中药熏洗可以加强肛门病术后疗效，对于减轻患者术后不适、创口水肿消退、促进创口愈合均起到较好的作用，缩短了疗程。

This study was to seek a optimum fuming ＆ washing method for preventing ＆ treating postoperative edema of anal disease through observing the efficacy of fuming ＆ washing for edema at different fuming ＆ washing temperatures, as well different lasting times;according to the occurence time of edema, divided 300 cases who had been subject to surgery into group A and B, then again according to the lasting time for fuming ＆ washing divided group A and B into 3 subgroups （i.e A1 ,A2 ,A3 ,B1 ,B2 ,B3） and respectively, 50 cases for each subgroup;then,observed the recovery status（outcome） at different temperature of medicine solution,as well different lasting time, and compared clinical effects of all groups.As results,after above-mentioned treatment for all group the total effective rate was 76% in group A1 96% in group A2, 76% in group A3,60% in group B1,92% in group B2,78% in group B3,respectively;and in the effect,in disappearance degree of pain and edema group A2 and B2 were all superior to other groups（ P 〈0.05）.Results show that early adopting appropriate solution temperature（43±2）℃, and fuming＆washing time （for 15 min） can enhance the efficacy,specially play better role in reducing postoperative discomfort of patients, promoting disapperance of edema, and wound healing, so that shorten treatment course.