康妇消炎栓联合Ⅰ期根治手术对肛周脓肿的影响

EEfficacy of Kangfu Anti-inflammatory Suppository Combined with Ⅰ Stage Radical Operation on the Anus Week Abscess

目的:观察康妇消炎栓联合Ⅰ期根治手术对肛周脓肿的影响。方法:选取90例肛周脓肿患者,采用随机数字表法随机分为对照组和治疗组,各45例。两组均予Ⅰ期根治手术及术后常规处理,治疗组再予康妇消炎栓纳肛治疗。观察两组术后创面疼痛、渗出、肉芽组织生长情况、创面愈合时间、并发症及复发率。结果:两组创面疼痛、渗出、肉芽组织生长情况评分在术后3 d、7 d、14 d均呈下降趋势,差异均有统计学意义(P<0.05);治疗组创面疼痛、渗出、肉芽组织生长情况评分在术后7 d、14 d均低于同期对照组(P<0.05)。治疗组术后愈合时间明显短于对照组(P<0.01);治疗组术后3月复发率低于对照组,但差异无统计学意义(P>0.05);对照组总并发症发生率高于治疗组,差异有统计学意义(P<0.05)。术后观察2周时总有效率对照组为77.8%,治疗组为93.3%,差异有统计学意义(P<0.05)。结论:康妇消炎栓联合Ⅰ期根治手术治疗肛周脓肿临床疗效显著,能降低创面疼痛、减少创面渗出、促进创面愈合、减少术后并发症发生率。

Objective： To observe the curative effect of Kangfu anti-inflammatory suppository combined with Ⅰ stage radical operation on the anus week abscess. Methods： The 90 cases of patients with anal abscess were randomly divided into control and treatment groups, 45 cases in each. The two groups were treated with one stage radical operation and routine treatment, and the treatment group was treated with the therapy of anal and rectal suppository. The wound pain, exudation, granulation tissue growth, wound healing time, complications and recurrence rate were observed in the two groups. Results： The growth of two groups of wound pain, exudation,granulation tissue were decreased in the postoperative 3 d, 7 d and 14 d, and the difference was statistically significant（P〈0.05）; the treatment group showed lower growth of wound pain, exudation, granulation tissue scores than the control group in the postoperative 7 d and 14 d（P〈0.05）. The treatment group showed lower postoperative healing time than the control group（P〈0.01）; The treatment group showed lower recurrence rate in three months than the control group, but the difference was not statistically significant（P〉0.05）; the control group showed higher total incidence of complications than the treatment group, and the difference was statistically significant（P〈0.05）. After 2 weeks, the total effective rate was 77.8% in control group and 93.3% in treatment group, and the difference was statistically significant（P〈0.05）. Conclusion： The clinical effect of Kangfu anti-inflammatory suppository combined with phase I radical surgery in the treatment of anal abscess is significant, can reduce the pain of the wound, reduce the wound exudation, promote wound healing, and reduce the incidence of postoperative complications.