加味五倍子汤坐浴疗法辅助高锰酸钾溶液熏蒸治疗在高位复杂性肛瘘术后患者中的应用观察

Observation on the application of Jiawei WuBeiZi Decoction hip bath therapy combined with potassium permanganate solution fumigation in the treatment of postoperative patients with high complex anal fistula

目的探讨加味五倍子汤坐浴疗法辅助高锰酸钾溶液熏蒸用于治疗高位复杂性肛瘘术后患者中的临床效果.方法随机选取我院2019年11月~2020年11月间84例高位复杂性肛瘘术后创面未愈患者,并将其均分为实验组(n=42)和对照组(n=42).其中予以对照组患者常规治疗,具体为甲硝唑氯化钠注射液灌肠保留及高锰酸钾溶液熏蒸等.而实验组则在前者基础上采取加味五倍子汤坐浴疗法.评价并比较两组临床疗效.结果实验组治疗总有效率为100.00%,显著高于对照组的83.33%,差异有统计学意义(P<0.05);与对照组相比,实验组患者创面愈合、疼痛持续、肿胀消失及排便恢复的时间均更短,差异有统计学意义(P<0.05);治疗前,两组患者直觉模拟疼痛及生活质量的评分组间比较,差异无统计学意义(P>0.05);治疗后,实验组直觉模拟疼痛及生活质量评分均优于对照组,差异有统计学意义(P<0.05).结论加味五倍子汤坐浴疗法辅助高锰酸钾溶液熏蒸治疗用于高位复杂性肛瘘术后创面未愈患者中,效果显著,可在加速患者创面愈合的同时,提高患者生活质量,并降低疼痛程度.

Objective To investigate the clinic al effect of Jiawei WuBeiZi Decoction hip bath therapy combined with potassium permanganate solution fumigation in the treatment of postoperative patients with high complex anal fistula.Methods From November 2019 to November 2020,84 patients with high complex anal fistula were randomly div ided into experimental group(n=42)and control group(n=42).The patients in the control group were given routine treatment,including retention of metronidazole and glucose.injection by enema and fumigation with.polassium permanganate solution.On the basis of the former,the experimental group was given hip bath therapy with modified gallnut decoetion.The clinical effeets of the.two groups were evaluated and compared.Results The total effective rate of the experimental group was 100.00%,signifcantly higher than 83.33% of the control group,the difference was statistically significant(P<0.05);compared with the control group,the time of wound healin g.pain duration,swelling disappearance and defecation recovery of the experimental group were shorter,the difference was statistically significant(P<0.05);before treatment,he scores of intuitionistie simulated pain and quality of life of the Iwo groups were compared The difference was not statistically significant(P>0.05);after treatment,the intuitive simulated pain and quality of life in the experimental group were better than those in the control group,the difference was statistically signifieant(P<0.05).Conclusion Jiawei W uBeiZi Decoction hip bath therapy combined with pot assium permanganate solution fumigation is effective in the treatment of patients with high complex anal fistula,which can accelerate the wound healing time.improve the quality of life of patients,and reduce the degree of pain.