改良肛裂切除術(shù)聯(lián)合中藥坐浴治療慢性肛裂的療效分析

曹子康 段文志 何建坤 吳惠婷

[摘要] 目的 探討分析改良肛裂切除術(shù)聯(lián)合中藥坐浴治療慢性肛裂的療效。方法 方便選取2018年1月—2019年7月該院收治的120例慢性肛裂患者，隨機(jī)分為實(shí)驗(yàn)組（n=60例）與對(duì)照組（n=60例）。對(duì)照組患者采用肛裂切除術(shù)聯(lián)合中藥坐浴進(jìn)行治療，實(shí)驗(yàn)組患者采用改良肛裂切除術(shù)聯(lián)合中藥坐浴進(jìn)行治療。結(jié)果 實(shí)驗(yàn)組患者的臨床治療總有效率96.67%明顯高于對(duì)照組的85.00%，差異有統(tǒng)計(jì)學(xué)意義（χ2=4.904，P=0.027<0.05），術(shù)后疼痛程度NRS評(píng)分（3.61±1.14）分明顯低于對(duì)照組的（4.85±1.57）分，差異有統(tǒng)計(jì)學(xué)意義（t=4.950，P=0.000<0.05），疼痛時(shí)間（2.06±0.68）d短于對(duì)照組的（4.17±1.79）d，差異有統(tǒng)計(jì)學(xué)意義（t=8.536，P=0.000<0.05），傷口愈合時(shí)間（12.53±2.44）d短于對(duì)照組的（15.67±3.25）d，差異有統(tǒng)計(jì)學(xué)意義（t=5.985，P=0.000<0.05），并發(fā)癥總發(fā)生率5.00%明顯低于對(duì)照組的16.67%，差異有統(tǒng)計(jì)學(xué)意義（χ2=4.227，P=0.040<0.05）。結(jié)論 采用改良肛裂切除術(shù)聯(lián)合中藥坐浴治療慢性肛裂，能夠有效降低患者術(shù)后疼痛程度，縮短疼痛和傷口愈合時(shí)間，降低并發(fā)癥發(fā)生率，具有更高的臨床療效和安全性，值得推廣應(yīng)用。

[關(guān)鍵詞] 改良肛裂切除術(shù);中藥坐浴;慢性肛裂;臨床療效

[Abstract] Objective To analyze the curative effect of modified anal fissure resection combined with traditional Chinese medicine sitting bath in the treatment of chronic anal fissure. Methods Convenient select from January 2018 to July 2019， 120 patients with chronic anal fissure in the hospital were randomLy divided into experimental group （n=60） and control group （n=60）. The patients in the control group were treated with anal fissure resection combined with traditional Chinese medicine sitting bath， while the experimental group was treated with modified anal fissure resection combined with traditional Chinese medicine sitting bath. Results The total effective rate of clinical treatment in the experimental group was 96.67%， which was significantly higher than 85.00% in the control group，the difference was statistically significant （χ2=4.904， P=0.027<0.05）. The NRS score of postoperative pain degree （3.61±1.14）points was significantly lower than that of the control group （4.85±1.57）points，the difference was statistically significant（t=4.950， P=0.000<0.05）. The pain time （2.06±0.68） d was shorter than that of the control group （4.17±1.79） d，the difference was statistically significant （t=8.536， P=0.000<0.05）， and the wound healing time （12.53±2.44） d was shorter than that of the control group （15.67±3.25） d ，the difference was statistically significant（t=5.985， P=0.000<0.05）.The total incidence of complications was 5.00%， which was significantly lower than 16.67% of the control group，the difference was statistically significant （χ2=4.227， P=0.040<0.05）. Conclusion Modified anal fissure resection combined with traditional Chinese medicine sitting bath in the treatment of chronic anal fissure can effectively reduce the degree of postoperative pain， shorten the time of pain and wound healing， reduce the incidence of complications， has higher clinical efficacy and safety， and is worth popularizing and applying.