中药雾化熏洗配合特定电磁波谱照射在肛瘘患者术后的应用效果

Application effect of traditional Chinese medicine atomizing fumigation combined with thermal design power in postoperative anal fistula patients

目的探讨中药雾化熏洗配合特定电磁波谱(TDP)照射在肛瘘患者术后干预的临床效果。方法选取2022年10月至2023年10月九江市第一人民医院120例肛瘘患者作为研究对象,根据治疗方法不同分为观察组(59例)与对照组(61例)。两组均采用肛瘘切除术治疗,对照组术后采用高锰酸钾溶液外洗联合TDP照射,观察组术后采用中药雾化熏洗配合TDP照射。比较两组的临床总有效率、术后创面恢复时间、未治疗、治疗下创面分泌物、红肿问题、肉芽形态、炎症因子、疼痛、并发症。结果观察组总有效率高于对照组,差异有统计学意义(P<0.05);观察组术后疼痛消失时间、水肿消失时间、渗血消失时间、便血消失时间、创面愈合时间短于对照组,差异有统计学意义(P<0.05);治疗后,观察组患者创面分泌物评分、肉芽形态评分、红肿程度评分低于对照组,差异有统计学意义(P<0.05);观察组视觉模拟评分法(VAS)评分、并发症发生率低于对照组,差异有统计学意义(P<0.05);观察组超敏C反应蛋白(hs-CRP)、白细胞介素-6(IL-6)、白细胞介素-8(IL-8)水平低于对照组,差异有统计学意义(P<0.05)。结论肛瘘患者在术后干预中采用中药雾化熏洗配合TDP照射的效果较显著,不仅可以有效缩短其术后创面恢复时间,改善创面分泌物、肉芽形态及红肿情况,还可以减轻其疼痛程度和炎症反应,减少并发症的发生。

Objective To investigate the clinical effect of traditional Chinese medicine atomization fumigation combined with thermal design power(TDP)irradiation on in postoperative anal fistula patients.Methods A total of 120 patients with anal fistula in Jiujiang NO.1 People's Hospital from October 2022 to October 2023 were selected as the study objects and they were divided into observation group(59 cases)and control group(61 cases)according to different treatment method.The two groups were treated with anorectal fistula resection,the control group was treated with potassium permanganate solution external washing combined with TDP irradiation after surgery,the observation group was treated with traditional Chinese medicine atomized fumigation combined with TDP irradiation after surgery.The clinical total effective rate,postoperative wound recovery time,untreated and treated wound secretion,redness and swelling,granulation morphology,inflammatory factors,pain and complications were compared between the two groups.Results The total effective rate of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).The time of pain disappearance,edema disappearance,bleeding disappearance,hematochezia disappearance and wound healing in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the wound secretion score,granulation shape score and redness degree score in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).Visual analogue score(VAS)and complication rate of observation group were lower than control group,the difference was statistically significant(P<0.05).The levels of hypersensitive C-reactive protein(hs-CRP),interleukin-6(IL-6)and interleukin-8(IL-8)in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).Conclusion In the postoperative intervention of anal fistula patients,the effect of traditional Chinese medicine aerosol fumigation combined with TDP irradiation is significant,which can not only effectively shorten the postoperative wound recovery time,improve the wound secretions,granulation morphology and redness,but also reduce the degree of pain and inflammation,and reduce the occurrence of complications.