复方五倍子洗剂熏蒸坐浴在肛周脓肿术后疼痛患者中的应用效果

Application effect of fumigation and sitting bath on postoperative pain of perianal abscess with Compound Gallnut Lotion

目的观察复方五倍子洗剂熏蒸坐浴在肛周脓肿术后疼痛患者中的应用效果。方法选取常德市第一中医医院2018年6月~2019年3月收治的120例行肛周脓肿切开挂线引流术的患者作为研究对象,按随机字母表法分为试验组(60例)与对照组(60例)。在常规换药、抗炎治疗的基础上,试验组采用复方五倍子洗剂熏蒸坐浴,对照组采用高锰酸钾溶液坐浴,比较两组治疗前、治疗2、8、14 d后的视觉模拟量表(VAS)评分、生活质量评分及临床疗效。结果治疗前两组VAS评分及生活质量评分比较,差异无统计学意义(P>0.05)。两组治疗2、8、14 d后的VAS评分均低于治疗前,生活质量评分均高于治疗前,且试验组治疗2、8、14 d后的VAS评分均低于对照组,生活质量评分均高于对照组,差异有统计学意义(P<0.05)。试验组的总有效率高于对照组,差异有统计学意义(P<0.05)。结论肛周脓肿术后患者使用复方五倍子洗剂熏洗坐浴能减轻术后疼痛,改善患者术后生活质量,提高治疗效果。

Objective To observe the application effect of fumigation and sitting bath on postoperative pain of perianal abscess with Compound Gallnut Lotion.Methods A total of 120 patients admitted to Changde First Hospital of Traditional Chinese Medicine from June 2018 to March 2019 who underwent perianal abscess incision and drainage were selected as the research objects,and they were divided into the experimental group(60 cases)and the control group(60 cases)according to the random alphabet method.On the basis of conventional dressing and anti-inflammatory treatment,the experimental group received fumigation sitz bath with Compound Gallnut Lotion,the control group received sitz bath with potassium permanganate,the visual analogue score(VAS),quality of life score before treatment and after 2,8,14 days of treatment and clinical efficacy were compared between the two groups.Results Before treatment,there were no statistically significant differences in the VAS and quality of life scores between the two groups(P>0.05).After 2,8,14 days of treatment,VAS scores were lower in both groups than those before treatment,and quality of life scores were higher in both groups than those before treatment,and after 2,8,14 days of treatment,VAS scores in the experimental group were lower than those in the control group,and life quality scores in the experimental group were higher than those in the control group,the differences were statistically significant(P<0.05).The total effective rate of the experimental group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion After perianal abscess surgery,the use of Compound Gallnut Lotion fumigation sitz bath can reduce postoperative pain,improve the quality of life of patients after surgery,and improve the treatment effect.