资源描述:
《复方紫草油纱条用于肛裂术后病人换药探究》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、复方紫草油纱条用于肛裂术后病人换药探究【中图分类号】R269【文献标识码】A【文章编号】1672-3783(2013)11-0427-02【摘要】目的:复方紫草油纱条促进肛裂术后创面愈合的临床疗效。方法:选择医院肛肠住院病人2009年4月〜2012年8月份行肛裂切除,随机分为2组,其中治疗组病历30例,采用紫草油纱条换药,对照组30例,则采用凡士林油纱条换药。并于换药时分别观察和记录患者术后第1天的切口面积大小和第3天、第7天伤口水肿情况,观察记录切口愈合时间。结果:通过对60例患者收集的数据进行分析,发现所有病例全部治愈:用统计学方法处理发
2、现,用药第3天和第7天后两组病例伤口在创面水肿、创面愈合速度等方面两组存在显著性差异,治疗组的临床疗效明显优于对照组。结论:复方紫草油纱条具有清热除湿、消肿止痛、凉血止血、活血化瘀、去腐生肌等功效,能明显加快创面愈合速度,缩短切口愈合时间,促进患者切口愈合,在肛裂切除术后换药中,其疗效优于凡士林纱条。【关键词】肛裂术后:复方紫草油纱条:临床疗效【abstract】objective:thecompoundradixarnebiaeseulithospermioilgauzestriptopromotetheclinicalcurativeef
3、fectofanalfissurepostopera.tivewoundhealing.Methods:tochooseahospitalanusbowelhospitalpatientsinApril2009toAugust2012,analfissureresectionwererandomlydividedinto2groups,treatmentgroup30cases,withradixarnebiaeseulithospermioilgauzedressing,30casesofcontrolgroupwithvaselineoi
4、lgauzedressing.Andobserveandrecordpatientsrespectivelyduringtheswitchingofpostoperativeday1day,7daysawoundincisionsizeand3edema,observationrecordsincisionhealingtime.Results:throughtheanalysisofdatacollectedfrom60patients,foundthatallthecaseswerecured,withstatisticalmethods
5、,foundthatdruguseafter3daysand7daysinthetwogroupscaseswoundinsuchaspectsasedema,thehealingofthewoundexistsignificantdifferencesinbothgroups,theclinicalefficacyoftreatmentgroupwasobviouslybetterthanthecontrolgroup.Conclusion:compoundradixarnebiaeseucoldbloodtolithospermioilg
6、auzearticlehasclearheatdehumidification,swellingandpain,stopbleeding,promotingbloodcirculationtoremovebloodstasis,theeffectsuchasgosaprophyticmuscle,canobviouslyacceleratethewoundhealing,shortentheincisionhealingtime,promotehealingofincisioninpotientswithafterresectionofthe
7、analfissuretreatment,thecurativeeffectisbetterthanthatofvaselinegauze・【keywords】analfissuresurgery:compoundradixarnebiaeseulithospermioilyarn:clinicalcurativeeffect肛裂,是指齿状线以下肛管皮肤全程裂开后形成的小溃疡。多见青中年人,好发于肛管后正中线。与多种因素有关,长期便秘,粪便干结,排便时机械性创伤是肛裂形成的直接原因。肛管外括约肌浅部在肛管后方形成的肛尾韧带伸缩性差、较为坚硬,
8、肛管与直肠呈角相接,用力排便时,肛管后壁承受压力最大,故后正中线易被撕裂。急性肛裂边缘整齐,底浅、呈红色有弹性。慢性肛裂因反复发作、感染,底深边缘不整齐:基地及边缘