中药熏洗对肛肠手术患者术后疼痛及伤口愈合的影响

Effect of Traditional Chinese Medicine Fumigation on Postoperative Pain and Wound Healing in Patients Undergoing Anorectal Surgery

目的观察肛肠手术患者应用中药熏洗对术后疼痛及伤口愈合的影响。方法选择2016年1月~2019年6月在我院进行肛肠手术的90例患者,采用随机数字表法分为对照组和观察组,各45例,对照组采用高锰酸钾熏洗治疗,观察组采用中药熏洗治疗,比较两组患者术后疼痛评分、肛门坠胀评分、伤口愈合时间、住院时间、便血消失时间。结果观察组术后肛门疼痛评分(2.14±0.26)分、肛门坠胀评分(0.76±0.23)分分别低于对照组的(4.61±0.44)分、(1.79±0.48)分,差异有统计学意义(P<0.05);观察组伤口愈合时间(11.22±2.55)d、住院时间(16.52±3.15)d、便血消失时间(7.83±2.12)d均短于对照组的(16.77±4.62)d、(22.81±4.69)d、(9.55±2.58)d,差异有统计学意义(P<0.05)。结论中药熏洗可促进肛肠手术患者术后伤口愈合,减轻患者疼痛度,加快康复进程,缩短住院时间按和伤口愈合时间,具有较好的临床应用价值。

Objective To observe the effect of traditional Chinese medicine fumigation on postoperative pain and wound healing in patients undergoing anorectal surgery.Methods 90 patients who underwent anorectal surgery in our hospital from January 2016 to June 2019 were randomly divided into the control group and the observation group,45 cases in each group.The control group was treated with potassium permanganate fumigation.The observation group was treated with traditional Chinese medicine fumigation and washing.The postoperative pain score,anal bulge score,wound healing time,hospitalization time,and blood loss time were compared between the two groups.Results The postoperative anal pain score(2.14±0.26)and anal bulge score(0.76±0.23)were lower than those of the control group(4.61±0.44)and(1.79±0.48),the difference was statistically significant(P<0.05);the observation group wound healing time(11.22±2.55)d,hospitalization time(16.52±3.15)d,blood loss of stool(7.83±2.12)d were shorter than the control group(16.77±4.62)d,(22.81±4.69 d,(9.55±2.58)d,the difference was statistically significant(P<0.05).Conclusion Traditional Chinese medicine fumigation can promote wound healing after anorectal surgery,reduce pain,speed up the healing process,shorten the length of hospital stay and wound healing time,and have good clinical application value.