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时间:2020-05-14
《复方黄柏液创面灌洗对肛周坏死性筋膜炎术后创面愈合的影响研究.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、·1372·现代中西医结合杂志ModernJournalofIntegratedTraditionalChineseandWesternMedicine2015May,24(13)复方黄柏液创面灌洗对肛周坏死性筋膜炎术后创面愈合的影响研究张春霞,李云龙,乔鲁冀,周欣(1.辽宁省沈阳市肛肠医院,辽宁沈阳110000;2.辽宁省开原市蓝天医院,辽宁开原112300)【摘要]目的观察复方黄柏液创面灌洗对肛周坏死性筋膜炎术后创面愈合的影响。方法将52例肛门周围继发肛门会阴部感染所导致的坏死性筋膜炎患者随机分为对照组和治疗组
2、,每组26例。2组手术方法相同,治疗组术后采用复方黄柏液灌洗创面,对照组采用常规方法处理创面。观察2组术后1~15d每晚疼痛视觉模拟评分(VAS),统计2组水肿改善总有效率、术后发热发生率和切1:7愈合时间。结果术后7~15d治疗组VAS评分总体低于对照组(P均<0.05)。治疗组和对照组水肿改善总有效率分别为92%和73%,术后发热发生率分别为0%和23%,切口愈合时间分别为(32.7±4.0)d和(52.8±6.2)d,2组比较差异均有统计学意义(P均<0.05)。结论复方黄柏液创面灌洗对在缓解术后疼痛、减轻水
3、肿、抗感染和促进愈合创面效果明显优于常规治疗,是一种较为理想的方法。[关键词]复方黄柏液;坏死性筋膜炎;创面愈合doi:10.3969/j.issn.1008—8849.2015.13.002[中图分类号]R686.3[文献标识码]A[文章编号]1008—8849(2015)13—1372—03ClinicaleficacyofcompoundHuangbailiquidlavageincisiontherapyforwoundhealingaftersurgeryforperianalnecrotizingfas
4、ciitisZHANGChunxia,LIYunlong,QIAOLuji,ZHOUXin(1.TheAnorectalHospitalofShenyangCity,Shenyang110000,Liaoning,China;2.BuleskyHospitalofKaiyuanCity,Kaiyuan112300,Liaoning,China)Abstract:ObjectiveItistoinvestigatetheclinicaleficacyofcompoundHuangbailiquidlavageinci
5、siontherapyforwoundhealingafiersurgeryforperianalnecrotizingfasciitis.Methods52patientswithperianalnecrotizingfasciitiswereran—domlyassignedtotreatmentgroup(n=26)andcontrolgroup(n:26),boththegroupsweretreatedwiththesamesurgery,thewoundsurfaceofthepatientsintre
6、atmentgroupwaslavagedwithcompoundHuangbailiquidwhilethesurfacewaslavagedwithnormalmethodincontrolgroup.TheVASscoresofpainatnightfrom1tO15daysaftertreatment,Subsidenceofhydro—sarca,incidenceofpostoperativeinfectionandhealingtimeofincisionwereobservedandcompared
7、inbothgroups.ResultsThepainscoresatnightofthe7—15daysafteroperationinthetreatmentgroupwerelowerthanthoseinthecontrolgroup(P8、fectionofthetreatmentgroupandthecontrolgroupwererespectively0%and23%.thehealingtimeofincisionwere(32.7±4.0)dand(52.8±6.2)drespectively,thedifferenceswereallstatisticalsignificant(P
8、fectionofthetreatmentgroupandthecontrolgroupwererespectively0%and23%.thehealingtimeofincisionwere(32.7±4.0)dand(52.8±6.2)drespectively,thedifferenceswereallstatisticalsignificant(P
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