中医外治法联合西医护理在肛周脓肿术后创面愈合中的应用

Application of Traditional Chinese Medicine External Treatment Combined with Western Medicine Nursing in Postoperative Wound Healing of Perianal Abscess

摘要: 本文主要研究目的是探索肛周脓肿术后创面愈合及术后患者生活质量。在2023年1~2024年1月间肛周脓肿患者分为观察组、对照组各40例，观察组进行西医常规护理，对照组为对照基础上加用中医外治法(中药熏洗、中药换药)护理，观察组术后创面愈合时间、VAS、创面水肿消退时间、术后并发症发生率、术后7D、14D生活质量(SF-36)高于对照组，术后24小时VAS评分的差异未达到显著性水平(p > 0.05)，但在术后72小时和7天时，VAS评分差异显著(p < 0.05)，术后并发症发生率低于对照组，术后7D、14DSF-36各维度评分高于对照组，差异均较大(p < 0.05)。中医外治法联合西医护理能显著减轻肛周脓肿术后患者疼痛，促进创面愈合，预防并发症的发生，改善术后患者的生活质量。

Abstract: The objective of this study is to study wound healing and postoperative quality of life of perianal abscess patients. From January 2023 to January 2024, perianally abscess subjects were divided into an observation group and a control group consisting of 40 patients. Subjects received regular western medicine nursing care and other traditional Chinese medicine external care (Chinese herbal fumigation and dressing change) as well as the regular Western medicine nursing. The observation group had higher rates of postoperative wound healing time, VAS score, wound edema resolution time, complication rate, and SF-36 at 7 and 14 days postoperatively compared to the control group. VAS scores at 24 hours postoperativity were not significant (p < 0.05), but they were significant at 72 hours and 7 days postoperative (p < 0.04). Postoperative complication rate was lower in observation group than in control group and postoperative 7-day and 14-day SF-36 scores were higher in observation of group than with control group (p < 0.05). Traditional Chinese medicine external treatment and Western medicine nursing can reduce postoperative pain, wound healing, complications and post-operative quality of life of perianal abscess patients.