摘要
目的 探讨柏氏清热散瘀方在肛瘘术后镇痛中的效果。 方法 选择2018年2月至2019年2月在上海中医药大学附属曙光医院柏氏肛肠科就诊的肛瘘手术后患者104例作为研究对象,根据治疗方法不同分为对照组和观察组,各52例。对照组采用痔疾洗液熏洗治疗,观察组采用柏氏清热散瘀方熏洗治疗,两组患者均连续治疗14 d。比较两组患者的近期疗效,两组患者治疗前和治疗后3 d、7 d、14 d的视觉模拟评分(VAS),创面愈合情况,住院时间及术后生活质量情况。 结果 观察组近期总有效率高于对照组[96.2%(50/52)比82.7%(43/52)]( P <0.05);治疗后两组患者的VAS逐渐降低,且观察组降低得更为显著,两组组间、时点间和组间·时点间比较差异均有统计学意义( P <0.001);观察组创面愈合率高于对照组[(90.6±2.2)%比(82.0±3.7)%]( P <0.05),创面愈合时间和住院时间均短于对照组[(15.2±3.2) d比(20.1±4.6) d,(10.1±2.7) d比(13.8±2.6) d]( P < 0.05 );两组患者治疗后的精神健康、情感智能、社会功能、躯体疼痛、生理功能、生理职能、活力、总体健康指标均较治疗前好转,且观察组优于对照组( P <0.05)。 结论 柏氏清热散瘀方用于肛瘘术后镇痛近期疗效良好,能减轻术后疼痛、促进创面愈合、改善患者生活质量。
Objective To investigate the effect of Bai′s Qingre Sanyu recipe on analgesia after operation on anal fistula. Methods From Feb. 2018 to Feb. 2019, 104 patients with anal fistula treated in the Bai′s Anorectal Department of Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine were included in the study.They were divided into a control group and an observation group according to the treatment method,each 52 cases.The control group was fumigated with hemorrhoid lotion,and the observation group was fumigated with Bai′s Qingre Sanyu recipe. The patients in both groups were treated continuously for 14 days.The short-term effects,the visual analogue scale(VAS) before and after 3, 7, and 14 days of treatment,the wound healing condition,length of hospital stay,and postoperative quality of life of the two groups were compared. Results The effective rate of the observation group was higher than that of the control group [96.2%(50/52) vs 82.7%(43/52)]( P <0.05).After treatment,the VAS of the two groups gradually decreased,and the observation group decreased more significantly,the VAS before treatment,after 3 d, 7 d, and 14 d of treatment were statistically significant between groups,different time points,and groups · time points( P <0.001).The hospitalization time and wound healing time in the observation group were shorter than those in the control group [(13.8±2.6) d vs (10.1 ± 2.7) d, (20.1±4.6) d vs (15.2±3.2) d] ( P <0.05).The wound healing rate was higher than that of the control group[(81.98±3.73)% vs(90.57±2.24)%]( P <0.05). After treatment,the mental health,emotional intelligence,social function,physical pain,physiological function,physiologicallimitation,vitality,and overall health of both groups were better than before treatment, and the observation group was better than the control group( P <0.05). Conclusion Bai′s Qingre Sanyu recipe has good short-term effects on analgesia after anal fistula surgery,which can reduce postoperative pain,promote wound healing, and improve the quality of life of the patients.
作者
夏泽华
张雅明
XIA Zehua;ZHANG Yaming(Department of Bai′s Anorectal,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200021,China)
出处
《医学综述》
2020年第2期391-394,402,共5页
Medical Recapitulate
基金
上海市进一步加快中医药事业发展三年行动计划(ZY〔2018-2020〕-CCCX-1004)
关键词
肛瘘
柏氏清热散瘀方
中药熏洗
疼痛
创面愈合
生活质量
Anal fistula
Baishi Qingre Sanyu recipe
Traditional Chinese medicine fumigation
Pain
Wound healing
Quality of life