临床普外科电子杂志 ›› 2021, Vol. 9 ›› Issue (1): 46-.

• • 上一篇    

祛毒汤熏洗对肛周脓肿合并2 型糖尿病患者术后炎症因子及恢复的影响

  

  1. 太原市中心医院 中医肛肠科,山西 太原 030009
  • 出版日期:2021-01-01 发布日期:2021-05-08

Effect of Qudu Decoction fumigation on postoperative inflammatory factors and recovery in patients with perianal abscess and type 2 diabetes mellitus 

  1. Anorectal Department of Traditional Chinese Medicine, Taiyuan Central Hospital, Taiyuan 030009, Shanxi
  • Online:2021-01-01 Published:2021-05-08

摘要:

摘要:目的 观察祛毒汤熏洗对肛周脓肿合并2 型糖尿病患者术后炎症因子及恢复的影响。

方法 选取2017 年8 月至2019 年10 月太原市中心医院诊治的106 例肛周脓肿合并2 型糖尿病患者,采用数字表法将入组患者分为观察组(n=53)和对照组(n=53),所有患者择期完成一次性挂线引流术,常规护理基础上对照组给予高锰酸钾溶液坐浴,观察组采用祛毒汤熏洗,均为1 次/d,2 周后对比两组患者疗效、首次排便困难程度、创口愈合时间、血清炎症因子及并发症发生情况。结果 两组患者中医证候疗效总有效率比较差异有显著性(P<0.05);观察组创面愈合时间明显短于对照组(P<0.05),术后第7 天时观察组患者血清炎症因子水平低于对照组,组间比较差异有显著性(P<0.05)。结论 肛周脓肿合并2 型糖尿病患者术后给予祛毒汤坐浴可有效缓解疼痛,抑制炎症因子表达,加速创口愈合,降低并发症发生率,疗效满意。

关键词: 关键词:祛毒汤, 肛周脓肿, 2 型糖尿病, 疗效, 炎症因子, 并发症

Abstract:

Abstract: Objective To observe the effect of Qudu Decoction fumigation on postoperative inflammatory factors and recovery in patients with perianal abscess and type 2 diabetes mellitus. Methods: 106 patients with perianal abscess complicated with type 2 diabetes mellitus in Taiyuan Central Hospital from August 2017 to October 2019 were selected and divided into observation group (n=53) and control group (n=53) by digital table method. All patients were scheduled to complete onetime thread drawing drainage. On the basis of routine nursing, the control group was given sitz bath with potassium permanganate solution, and the observation group was fumigated with Qudu Decoction once

every day. Two weeks later, the curative effect, difficulty of first defecation, wound healing time, serum inflammatory factors and complications of the two groups were compared. Results There was significant difference in the total effective rate of traditional chinese medicine syndrome between the two groups (P<0.05); the wound healing time of the observation group was significantly less than that of the control group (P<0.05), and the serum inflammatory factor level of the observation group was significantly lower than that of the control Group on the 7th day after operation (P<0.05). Conclusion Hip bath with Qudu decoction can effectively relieve pain, inhibit the expression of inflammatory factors, accelerate wound healing, reduce the incidence of complications and achieve satisfactory curative effect in patients with perianal abscess and type 2 diabetes mellitus. It is a characteristic diagnosis and treatment scheme of integrated traditional Chinese and Western medicine.

Key words: Key words: Qudu Decoction, Perianal abscess, Type 2 diabetes mellitus, Efficacy, Inflammatory factors, Complications