1. 郑州市中医院
2. 药用美洲大蠊四川省重点实验室
纸质出版:2019
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[1]朱建富,刘荣,黄媛莉.康复新液纱条联合挂线术对肛周脓肿切口愈合及感染创面愈合的影响[J].中医杂志,2019,60(05):405-409.
ZHU Jianfu, LIU Rong, HUANG Yuanli. Effects of Kangfuxinye Yarn( 康复新液纱条) Combined with Thread-drawing on Incision Healing of Perianal Abscess and Healing Infected Wound[J]. Journal of Traditional Chinese Medicine2019, 60(5): 405-409.
[1]朱建富,刘荣,黄媛莉.康复新液纱条联合挂线术对肛周脓肿切口愈合及感染创面愈合的影响[J].中医杂志,2019,60(05):405-409. DOI: 10.13288/j.11-2166/r.2019.05.011.
ZHU Jianfu, LIU Rong, HUANG Yuanli. Effects of Kangfuxinye Yarn( 康复新液纱条) Combined with Thread-drawing on Incision Healing of Perianal Abscess and Healing Infected Wound[J]. Journal of Traditional Chinese Medicine2019, 60(5): 405-409. DOI: 10.13288/j.11-2166/r.2019.05.011.
目的比较引流术、挂线术及康复新液纱条联合挂线术对肛周脓肿切口愈合及感染创面愈合的疗效。方法 75例肛周脓肿患者随机分为引流组、挂线组、纱条联合挂线组各25例
分别采取切开引流术、切开挂线术、康复新液纱条联合切开挂线术治疗。分别于术后2、7、14d评估各组患者疼痛程度
并于术后7、14、21d测定创面缩小率;记录各组术后切口开始愈合时间、感染创面愈合时间以及腐肉脱落时间
记录各组治疗后住院时间并统计复发率。结果术后2、7、14d各组疼痛程度比较差异有统计学意义(P <0. 01)
其中术后2、7、14d引流组疼痛程度评分明显高于挂线组、纱条联合挂线组
且术后7、14d挂线组明显高于纱条联合挂线组(P <0. 05)。术后7、14、21d各组创面缩小率比较差异有统计学意义(P <0. 01)。各时间点纱条联合挂线组创面缩小率均明显大于引流组与挂线组
而挂线组均明显高于引流组(P <0. 05)。纱条联合挂线组切口开始愈合、感染创面愈合、腐肉脱落及住院时间均较引流组、挂线组明显缩短
挂线组亦较引流组缩短(P <0. 05);纱条联合挂线组术后复发率为4. 00%
明显低于引流组(28. 00%)及挂线组(12. 00%)
挂线组亦明显低于引流组(P <0. 05)。结论康复新液纱条联合挂线术可有效缩短肛周脓肿切口愈合及感染创面愈合时间并降低复发率
其疗效较引流术及单纯挂线术更佳。
Objective To compare the effects of drainage
thread-drawing
and Kangfuxinye Yarn( 康复新液纱条) combined with thread-drawing on incision healing of perianal abscess and healing of infected wound. Methods A total of 75 cases of perianal abscess were randomly divided into drainage group
thread-drawing group and yarn combined with thread-drawing group
with 25 cases in each group. Three groups were respectively treated by drainage
thread drawing and Kangfuxinye Yarn combined with thread-drawing. The pain degree of each group was evaluated 2
7 and 14 days after operation
and the wound area reduction rate was measured 7
14 and 21 days after operation. The healing time of wound incision
the healing time of infected wound and the time of carrion shedding were recorded. The hospitalization time after treatment and the recurrence rate of each group were counted. Results The difference of pain degree of each group 2
7 and 14 days after operation was statistically significant( P < 0. 01)
among which the pain level score of drainage group was significantly higher than that of the thread-drawing group and yarn combined with thread-drawing group 2
7 and 14 days after operation
and the score of thread-drawing group was significantly higher than that of yarn combined with thread-drawing group 7 and 14 days after operation( P < 0. 05).The wound area reduction rate of all groups was significantly different 7
14 and 21 days after operation( P < 0. 01).The wound area reduction rate of yarn combined with thread-drawing group was significantly larger than that of drainage group and thread-drawing group at each time point
and the thread-drawing group was superior to the drainage group( P < 0. 05). The healing time of wound incision
the healing time of infected wound
the time of carrion shedding and the hospitalization time of the yarn combined with thread-drawing group were significantly shorter than those of the drainage group and thread-drawing group
and the thread-drawing group was superior to the drainage group( P <0. 05). The recurrence rate of the yarn combined with thread-drawing group was 4. 00%
which was significantly lower than the drainage group( 28. 00%) and the thread-drawing group( 12. 00%). The thread-drawing group was also superior to the drainage group( P < 0. 05). Conclusion Kangfuxinye Yarn combined with thread-drawing can effectively shorten the healing of incision and infected wound of perianal abscess and reduce recurrence rate
its clinical effects are better than drainage and thread-drawing alone.
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