康复新液联合射频电疗仪治疗对肛瘘术后创面愈合的影响

Effect of Kangfuxin Liquid Combined with Radiofrequency Electrotherapeutic Apparatus on Wound Healing After Surgery for Anal Fistula

目的:观察在现代医学常规医护措施基础上将康复新液外敷与射频电疗仪联合用于肛瘘术后对创面愈合效果的影响。方法:将108例行低位肛瘘切开术的低位单纯性肛瘘术后患者按随机数字表法分为2组各54例。2组术后均给予常规抗感染及补液、止血、镇痛等对症处理措施,并给予局部换药、饮食护理和心理护理等综合护理措施。观察组加予康复新液外敷与射频电疗仪照射治疗。2组疗程均为7 d。评价术后创面恢复情况,包括创面疼痛程度、创面分泌物、创缘水肿、肉芽生长情况,计算创面愈合率,记录创面愈合时间,患者于出院当天评价护理满意度。结果:与术后1 d相比,2组术后3 d和7 d的创面疼痛程度评分均下降(P<0.01)。观察组术后3 d和7 d的疼痛程度评分均低于对照组(P<0.01)。术后7 d,2组创面分泌物、创缘水肿和肉芽生长评分均较术后1 d下降(P<0.01),观察组3项评分均低于对照组(P<0.01)。观察组创面愈合率高于对照组(P<0.01),创面愈合时间较对照组缩短(P<0.01)。观察组护理满意度高于对照组(P<0.05)。结论:在现代医学常规医护措施基础上将康复新液外敷与射频电疗仪联合用于肛瘘术后,可有效促进创面的修复,减轻创面疼痛程度,缩短病程,提高患者对护理工作的满意度。

Objective:To observe the effect of external application of Kangfuxin liquid and radiofrequency electrotherapeutic apparatus based on routine medical and nursing measures of modern medicine on wound healing after surgery for anal fistula.Methods:A total of 108 cases of patients after incision of low simple anal fistula were divided to two groups according to the random number table method,54 cases in each group.Both groups were given routine symptomatic treatments such as anti-infection,fluid replacement,hemostasis,and analgesia,as well as comprehensive nursing measures including local dressing change,diet nursing,and mental nursing.The observation group was additionally given external application of Kangfuxin liquid and radiofrequency electrotherapeutic apparatus for irradiation.Both groups were treated for seven days.The postoperative recovery of wound including pain degree of wound,wound secretion,edema at the margin of wound,and granulation growth were evaluated.The healing rate of wound was calculated.The healing time of wound was recorded.The nursing satisfaction was evaluated when discharge.Results:When compared with that on the 1st day after surgery,the scores of pain degree of wound on the 3rd and 7th day after surgery were decreased in the two groups(P<0.01).The scores of pain degree of wound on the 3rd and 7th day after surgery in the observation group were lower than those in the control group(P<0.01).On the 7th day after surgery,scores of wound secretion,edema at the margin of wound,and granulation growth in the two groups were decreased when compared with those on the 1st day after surgery(P<0.01),and the three scores in the observation group were lower than those in the control group(P<0.01).The healing rate of wound in the observation group was higher than that in the control group(P<0.01),and the healing time of wound was earlier(P<0.01).Nursing satisfaction in the observation group was higher than that in the control group(P<0.05).Conclusion:After surgery for anal fistula,the therapy of external application of Kangfuxin liquid and radiofrequency electrotherapeutic apparatus on a basis of routine medical and nursing measures of modern medicine can effectively promote recovery of wound,relieve pain degree of wound,shorten course of the disease,and improve patients’nursing satisfaction.