中药外敷配合Ⅰ期根除手术治疗肛周脓肿的临床效果

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Abstract Objective To explore the clinical effect of external application of traditional Chinese medicine combined with phaseⅠeradication operation in the treatment of perianal abscess.Methods A total of 88 patients with perianal abscess admitted to our hospital from October 2018 to October 2019 were selected and divided into two groups according to the random number table method,44 cases in each group.All patients were treated with phaseⅠeradication operation,and the control group was treated with routine treatment.On this basis,the study group was treated with external application of traditional Chinese medicine until wound healing.Two weeks after operation,the clinical effect,laboratory index and rehabilitation effect of the two groups were compared.Results The total effective rate of the study group(97.73%)was higher than that of the control group(81.82%),the difference was statistically significant(P＜0.05).There was no significant difference between the two groups on the same day after operation in the level of laboratory indicators(P＞0.05);Interleukin-6(IL-6),tumor necrosis factor-α(TNF-α)2 weeks after operation in study group were（17.96±5.92）,（94.93±17.42）ng/L,lower than those in the control group of(22.05±7.38),(106.46±19.21)ng/L,vascular endothelial growth factor(VEGE)was(4.38±0.62)ng/L,higher than that in the control group of(3.59±0.53)ng/L,the differences were statistically significant(P＜0.05).The duration of postoperative pain,wound healing time and hospitalization time in the study group were(2.38±0.71),(17.94±2.77),(10.24±2.25)d,shorter than those in the control group of(3.62±0.75),(21.83±3.59),(12.24±2.63)d,and the differences were statistically significant(P＜0.05).Conclusion External application of traditional Chinese medicine combined with phaseⅠeradication surgery is effective in the treatment of perianal abscess,which can improve the level of inflammatory factors and growth factors,and enhance the rehabilitation effect.

Key words： Perianal abscess PhaseⅠeradication surgery External application of traditional Chinese medicine Rehabilitation effect Inflammatory factors

Received: 03 January 2020

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XIA Lv-chi. Clinical effect of external application of traditional Chinese medicine combined with phaseⅠeradication operation in the treatment of perianal abscess[J]. 中国当代医药, 2020, 27(24): 49-52.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2020/V27/I24/49

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