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肛周脓肿术后分期外用苦柏油与促愈油促进创面愈合的临床观察
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| 篇名： | 肛周脓肿术后分期外用苦柏油与促愈油促进创面愈合的临床观察 |
| TITLE： | |
| 摘要： | 目的：探讨在肛周脓肿术后分期外用苦柏油与促愈油促进创面愈合的疗效和安全性。方法：选择成都市第三人民医院2014年1月－2016年1月收治的肛周脓肿患者125例为观察对象，按入院时间随机分为对照组（60例）、观察组（65例）。两组患者均接受肛周脓肿切开引流术或挂线引流术治疗；术后在常规治疗基础上，对照组患者采用庆大霉素纱条换药治疗，观察组患者在创面炎症期采用苦柏油纱条、在肉芽生长期与上皮生长期采用促愈油纱条换药治疗。治疗4周后，对两组患者治疗效果、创面愈合情况、伤口疼痛、创面分泌物、肉芽组织生长情况等进行比较，并记录不良反应发生情况。结果：观察组患者治愈率达到80.0％，显著高于对照组的63.3％（P＜0.05）；创面面积减小率显著高于对照组，腐肉脱落时间、创面愈合时间均显著短于对照组（P＜0.01或P＜0.05）；术后第2、4周的伤口疼痛评分，第1、2、4周的创面分泌物评分、肉芽组织生长评分均显著低于对照组（P＜0.01或P＜0.05）。两组患者均未见明显不良反应发生。结果：对肛周脓肿术后患者分期外用苦柏油与促愈油，可以有效提高治疗效果，促进创面愈合，减轻术后疼痛，且安全性好。 |
| ABSTRACT： | OBJECTIVE： To investigate therapeutic efficacy and safety of the use of Kubai oil and Cuyu oil by stages on wound healing after perianal abscess operation. METHODS： A total of 125 observation objects selected from Chengdu Third People’s Hospital during Jan. 2014-Jan. 2016 were randomly divided into control group （60 cases） and observation group （65 cases）. Both groups received perianal abscess incision drainage or thread-drawing drainage. Control group was additionally given gentamicin gauze for dressing and other treatments after surgery based on routine treatment. Observation group was given Kubai oil gauze for dreassing in wound inflammation period， Cuyu oil gauze for dressing in granulation growth period and epithelial growth period. After 4 weeks of treatment， therapeutic efficacy， wound healing， wound pain， wound secretion and the growth of granulation tissue were compared between 2 groups. The occurrence of ADR was also recorded. RESULTS： The cure rate of observation group reached 80.0％， which was significantly higher than 63.3％ of control group （P＜0.05）； the reduction rate of wound area was significantly higher than control group， while the carrion shedding time and wound healing time were significantly lower than control group （P＜0.01 or P＜0.05）. The wound pain score in 2nd， 4th week， the wound secretion score and granulation tissue growth score in 1st， 2nd， 4th week after operation were significantly lower than control group （P＜0.01 or P＜0.05）. No significant ADR was found in 2 groups. CONCLUSIONS： For the patients underwent perianal abscess operation， the use of Kubai oil and Cuyu oil by stages can effectively improve therapeutic efficacy and wound healing， and relieve postoperative pain with good safety. |
| 期刊： | 2018年第29卷第2期 |
| 作者： | 陈婷，李五生 |
| AUTHORS： | CHEN Ting，LI Wusheng |
| 关键字： | 肛周脓肿；术后；苦柏油；促愈油 |
| KEYWORDS： | Perianal abscess； After operation； Kubai oil； Cuyu oil |
| 阅读数： | 318 次 |
| 本月下载数： | 4 次 |
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