摘要
目的观察搔刮祛腐法治疗高位后蹄铁形肛瘘术后创面愈合的临床疗效及其安全性。方法诊断为高位后蹄铁形肛瘘并住院行高位后蹄铁形肛瘘切开挂线术的40例患者,随机分为2组,分别接受搔刮祛腐法(治疗组)与传统换药法(对照组)治疗,每组各20例,以8周为总疗程,分别记录术后第7,14,21,35天创面面积及纵径的大小及创面完全愈合时间,临床总体疗效。应用统计软件SPASS18.0对结果进行统计学分析,计数资料用χ2检验;计量资料先进行正态性检验和方差齐性检验,满足要求者两样本均数比较用t检验,P值<0.05将被认为所检验的差别有统计意义。结果平均随访6个月,术后第7天创面面积、纵径减小率无显著性差异,总体疗效及术后第14,28,35天创面面积及纵径减小及创面完全愈合时间有显著性差异。结论搔刮祛腐法可促进肛瘘术后创面愈合,缩短愈合时间,疗效确切,值得临床推广。
Objective To observing the clinical efficacy of scratching and eliminating slough on treatment high posterior horseshoe fistula and its security. Methods 40 patients underwent posterior horseshoe anal fistulas were treated at the Nanjing hospital of T. C. M and were included in the present prospective study, and randomly divided into the treatment group （20 case as scratching and eliminating slough） and the control group（20 case as Conventional therapy）. Eight weeks for a total course. After the seventh day,the treatment group using curette scratching anal fistula postoperative wound on a regular basis and the control group using Conventional therapy. To compare the wound areas, wound vertical diameter of two groups patients in the seventh day, fourteenth day ,twenty- first and Thirty -filth day after operation, and the woundhealing time, the total therapeutic effect. Data was analysed through SPSS - 18.0 ,enumeration data was tested by X2 ,comparison of the measurement data between the samples was tested by t in both independent samples ,P 〈 0.05 means the difference is significant. Results At a mean follow -up of 6months, thereg no significant statistical difference （ P 〉 0.05 ） between treatment group and control group in the wound area and wound vertical diam- eter of the seventh day. Then there are significant difference （ P 〈 0.05 ） between two groups in the total therapeutic effect, the wound healing time and the wound areas and wound vertical diameter of the 14th/21/35th day after operation. Conclusion The method of scratching and eliminating slough could effectively shrink wound area, reduce healing time, and promote granulation, it is a safe method and worthy of clinical promotion.
出处
《时珍国医国药》
CAS
CSCD
北大核心
2014年第7期1655-1657,共3页
Lishizhen Medicine and Materia Medica Research
基金
南京市医学重点科技发展项目(No.ZKX12040)
关键词
搔刮祛腐法
高位后蹄铁形肛瘘
创面修复
Scratching and eliminating slough
Hight posterior horseshoe fistula
Injury repair
