龙珠软膏换药治疗肛瘘、混合痔电灼术后创面的疗效观察
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(遵义医科大学第三附属医院 遵义市第一人民医院,贵州 遵义 563000)

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余壮,男,主治医师,主要从事肛肠科工作。

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R 657.1+6;R 657.1+ 8

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Observation on the Curative Effect of Longzhu Ointment on the Wound of Anal Fistula and Mixed Hemorrhoids after Electrocautery
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(The Third Affiliated Hospital of Zunyi Medical University Zunyi First People's Hospital, Guizhou Zunyi 563000)

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    摘要:

    〔摘 要〕 目的: 对肛瘘、混合痔电灼术后创面应用龙珠软膏换药治疗的临床疗效进行分析。方法: 选取遵义医科大学 第三附属医院 2018 年 5 月至 2019 年 5 月期间收治的 68 例肛瘘、混合痔电灼术后患者,将其按照简单随机化法均分为对照 组和观察组,各 34 例。对照组应用常规混合痔电灼术治疗,观察组在对照组的基础上应用龙珠软膏换药,比较两组患者治 疗前后创口深度及长度、创面视觉模拟评分法(VAS)评分、创面面积及肉芽增生度。结果: 治疗前两组患者的创口深度 及长度比较,差异无统计学意义(P > 0.05)。治疗后观察组患者的创面深度与对照组比较,差异无统计学意义(P > 0.05)。 治疗后观察组患者的创面长度短于对照组,差异具有统计学意义(P < 0.05);观察组术后 3 d、6 d、10 d 创面 VAS 评分 均低于对照组,差异具有统计学意义(P < 0.05);观察组患者术后 5 d、10 d、14 d 创面面积均小于对照组,差异具有统 计学意义(P < 0.05);观察组患者各时段肉芽增生度均低于对照组,差异具有统计学意义(P < 0.05)。结论: 对肛瘘、 混合痔电灼术后患者应用龙珠软膏换药治疗效果较好,不仅能加快创口的愈合,减轻患者的疼痛,还能对其肉芽增生产生 抑制作用。

    Abstract:

    〔Abstract〕Objective To analyze the clinical effect of Longzhu ointment on the wound after electrocautery of anal fistula and mixed hemorrhoids. Methods 68 patients with anal fistula and mixed hemorrhoids treated in Zunyi First People's Hospital from May 2018 to may 2019 were selected and divided into control group and observation group according to simple randomization method, with 34 cases in each group. The control group was treated with routine mixed hemorrhoid electrocautery, and the observation group was treated with Longzhu ointment on the basis of the control group. The wound depth and length, wound visual analog score (VAS), wound area and granulation hyperplasia were compared between the two groups before and after treatment. Results There was no significant difference in wound depth and length between the two groups before treatment (P > 0.05). After treatment, there was no significant difference in wound depth between the observation group and the control group (P > 0.05). After treatment, the wound length of the observation group was shorter than that of the control group, the difference was statistically significant (P < 0.05); The VAS pain scores of the wound in the observation group were lower than those in the control group at 3, 6 and 10 days after operation (P < 0.05); The wound area of the observation group was less than that of the control group at 5, 10 and 14 days after operation (P < 0.05); The degree of granulation hyperplasia in the observation group was lower than that in the control group (P < 0.05). Conclusion Longzhu ointment is effective in the treatment of patients with anal fistula and mixed hemorrhoids after electrocautery. It can not only accelerate the wound healing and reduce the pain of patients, but also inhibit the granulation proliferation.

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  • 收稿日期:2021-06-18
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  • 在线发布日期: 2022-04-18
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