辨证施治、施膳及中药坐浴促进肛瘘术后恢复的临床研究

Clinical study of promoting postoperative anal fistula recovery with treatment and diet by syndrome differentiation and traditional Chinese medicine bath

目的观察辨证施治、施膳及中药坐浴促进肛瘘术后恢复的临床疗效。方法将300例肛瘘患者按照随机数字表法分为3组,3组均行肛瘘切除术治疗,术后第2 d治疗组100例采用辨证施治中药口服、辨证施膳及中药坐浴治疗,对照1组100例采用辨证施治中药口服及中药坐浴治疗,对照2组100例采用辨证施膳及中药坐浴治疗。3组均治疗14 d。比较3组治疗前及治疗3、6、9 d后疼痛、局部渗出物评分,比较3组治疗前及治疗5、12、19、26 d后创面面积,计算3组创面愈合率,并统计疗效。结果治疗3、6、9 d后3组疼痛及创面渗出物评分均较本组治疗前降低(P <0. 05),且治疗组均低于对照1组、对照2组同期(P <0. 05)。治疗5、12、19、26 d后3组创面面积均较本组治疗前减小(P <0. 05),且治疗组均小于对照组1组、对照2组同期(P <0. 05)。治疗12、19 d后治疗组创面愈合率高于对照1组、对照2组(P <0. 05)。治疗组疗效优于对照1组、对照2组(P <0. 05)。结论辨证施治、施膳及中药坐浴综合疗法可促进肛瘘术后患者创面愈合,缓解疼痛,值得临床推广。

Objective To observe the clinical effect of promoting postoperative anal fistula recovery with the treatment and diet by syndrome differentiation and traditional Chinese medicine bath.Methods Three hundred patients with anal fistula were divided according to the random number table into the treatment group(n=100)with the Chinese medicine treatment(PO)and diet by syndrome differentiation and traditional Chinese medicine bath,the control group 1(n=100)with the Chinese medicine treatment(PO)by syndrome differentiation and traditional Chinese medicine bath,and the control group 2(n=100)with the diet by syndrome differentiation and traditional Chinese medicine bath at day 2 after the fistulectomy.The treatment period for patients in the three groups was 14 days.And the pain score and local exudate score for patients in the three groups before the treatment and at day 3,6,and 9 after the treatment were compared.The wound healing areas for patients in the three groups before the treatment and at day 5,12,19,and 26 after the treatment were compared.The wound healing rate for the three groups was calculated.And the clinical effect of the three groups was evaluated.Results The pain score and local exudate score for patients in the three groups at day 3,6,and 9 after the treatment were lower than those before the treatment(P<0.05).At the same time,the pain score and local exudate score in the treatment group were lower than those of the control group 1 and 2(P<0.05).At day 5,12,19,and 26 after the treatment,the wound healing areas for patients in the three groups were lower than those before the treatment(P<0.05).Meanwhile,the wound healing areas in the treatment group were lower than those of the control group 1 and 2(P<0.05).There was the statistically significant difference for the wound healing rate in the three groups at day 12 and 19 after the treatment(P<0.05).And the wound healing rate and the curative effect in the treatment group was higher than those of the control group 1 and 2 respectively(P<0.05).Conclusion The comprehensive therapy including treatment and diet by syndrome differentiation and traditional Chinese medicine bath can improve the wound healing and relieve the pain for patients after the anal fistula operation,which is worthy of the clinical promotion.