红光治疗联合红油膏换药在低位单纯性肛瘘术后的疗效评价

Therapeutic effect of photon therapy combined with Hong You Ointment dressing change on postoperative patients with low simple anal fistula

目的探讨红光治疗联合红油膏换药对于低位单纯性肛瘘患者术后的临床疗效。方法选取2017年1-10月间在上海中医药大学附属曙光医院接受手术治疗的80例低位单纯性肛瘘患者,随机分为联合组(红光治疗+红油膏换药)和对照组(单纯红油膏换药)。所有患者术后第2天开始常规处理及使用红油膏伤口换药(基础治疗),联合组同时接受红光治疗,对照组仅接受基础治疗,评估患者术后伤口疼痛及瘙痒程度、伤口愈合时间及住院期间并发症发生的情况。结果联合组患者术后14 d、21 d伤口周围皮肤瘙痒程度明显轻于对照组(P<0. 05);联合组患者术后5 d、14 d伤口疼痛程度明显轻于对照组(P<0. 05);联合组患者伤口愈合时间短于对照组[(23.44±2.50) d vs (26.44±3.19) d,P<0. 01]。2组患者住院期间总体并发症发生率差异无统计学意义[14.6%(6/41) vs 17.9%(7/39),P>0. 05]。结论对于低位单纯性肛瘘术后患者,红光治疗联合红油膏换药显著降低了患者术后伤口周围皮肤瘙痒和疼痛的主观感受,明显缩短患者伤口愈合时间,有利于术后恢复,并不增加住院期间并发症的发生风险,有一定临床推广使用价值。

Objective To investigate the clinical efficacy of photon therapy combined with Hong You Ointment dressing change on postoperative patients with low simple anal fistula. Methods Eighty patients with low simple anal fistula undergoing surgical treatment at Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine between January 2017 and October 2017 were randomly divided into experimental group( group of photon therapy combined with Hong You Ointment dressing change) and control group( group of simple Hong You Ointment dressing change). All patients began to receive routine treatment on the second day after surgery and had dressing change with Hong You Ointment( basic treatment). The patients in the experimental group also had photon therapy. The patients in the control group had only basic treatment. We compared postoperative wound pain and itching,wound healing time,complications during hospitalization with those of control group. Results The extent of skin pruritus around the wound on the 14th and 21st day after surgery was significantly lighter in the experimental group than that in the control group( both P< 0. 05).The extent of wound pain on the 5th and 14th day was significantly lighter in the experimental group than that in the control group( both P<0. 05). The wound healing time in the experimental group was significantly shorter in the experimental group( 23.44±2.50) d than that in the control group( 26. 44 ± 3. 19) d,with a statistically significant difference( P < 0. 01). The overall complication rate during hospital stay was 14. 6%( 6/41) for the experimental group and 17. 9%( 7/39) for the control group,with no significant difference( P> 0. 05). Conclusion For patients with low simple anal fistula,photon therapy combined with Hong You Ointment dressing change can significantly reduce postoperative wound pain and itching and wound healing time,while benefit patient postoperative recovery,but does not increase the risk of complications during hospitalization,which has a certain value for clinical application.