| Objective:The topic for the ischiorectal abscess after operation, put forward by oral Tori Turner pus soup addition and subtraction, to Tori through the pus, replenishing qi and blood, reinforcing the spleen and stomach syndrome mainly, promote wound healing, reduce the wound exudate, relieve wound pain, shorter hospital stay, improve patients’ quality of life after surgery, recovery of the normal function of anus, play advantages of Chinese medicine in order to restore and promote the anal function, then the" Tori Turner ischiorectal abscess pus Decoction in promoting healing of postoperative wound clinical observation of the clinical efficacy of make scientific evaluation.Method:Will meet the inclusion criteria of60cases, were randomly divided into a treatment group and a control group, in all30cases, take a random number table classification of clinical controlled study.2week for a course of treatment (2weeks after treatment, treatment for4weeks after each recordedlclinical efficacy). On the14postoperative day28, when comparing postoperative wound healing, wound pain, wound exudates, length of hospital stay (length of stay for15days.), with VAS standard, the first postoperative day treatment group, control group underwent antibiotic treatment (of Ⅱ generation), fat soluble vitamin the needle support treatment, for a period of7days, routine dressing change, one day after operation, treatment group was treated with traditional Chinese medicine Tori Turner pus decoction. In control group were treated with antibiotic treatment (of Ⅱ generation), fat soluble vitamin needle support treatment, for a period of7days, routine dressing change, at the end of the treatment group and the control group to compare the efficacy analysis.Results:(1):treatment group total effectiveness96.66%, control group, the total efficiency of83.33%.(2) the treatment group (36.3±7.8) and control group (39.5±7.03) age composition by statistical analysis showed no significant difference (P>0.05);(3) after the treatment in the two groups had significant difference between VAS score, postoperative day14treatment groups (5±0.84) than the control group (1±0.49) obvious pain, postoperative day28treatment groups (6±1.27) than the control group (3±0.50) obvious pain, treatment group than in control group (P<0.05), the two groups after treatment of granulation tissue growth there was significant difference compared with control group,14days after surgery (3±0.59) the treatment group (2±0.73) granulation growth significantly, after28days of operation control group (2±0.47) than the treatment (1±0.50) granulation growth significantly, in treatment group than in control group (P<0.05), the two groups after treatment of wound exudates of irritation to the skin around the situation is there is significant difference, operation after14days of treatment group (5±1.13) than the control group (6±1.91) stimulation of secretion of the skin is more apparent, postoperative day28treatment groups (2±0.50) than the control group (3±0.98) stimulation of secretion of the skin is more obvious, in treatment group than in control group (P<0.05), the two groups after treatment, leukocytes, neutrophils compared to have the remarkable difference After14days, the treatment group (white blood cell:12.0±5.25×109, neutral:75%±0.15) than the control group (white blood cell:9.0±1.32×109, neutral:12.0±7.34×109) leukocytes, neutrophils have obvious differences, postoperative day28treatment groups (white blood cell:12.0±7.34×109, neutral:74%±0.10) than the control group (white blood cell:9.0±1.32×109, neutral:60%±0.10) leukocytes, neutrophils have obvious differences, in treatment group than in control group (P<0.05),(4) patients in the treatment group with Tori through the pus Decoction promoting the ischiorectal fossa abscess of postoperative wound healing has better stimulative role. Conclusion:Experience to Tori through pus Decoction promoting the ischiorectal abscess of postoperative wound healing in pain sensitivity have significant differences in the treatment group, oral Tori Turner pus soup, the growth of granulation tissue than the control group obviously accelerated, the wound exudates of irritation to the skin around the degree is reduced apparently, blood cell analysis improved obviously, thus proving Tori through the pus Decoction in promoting ischiorectal abscess postoperative wound healing have obvious curative effect, and is easy to use easy, quick and effective method, and easy for patients to accept, is worth the clinical promoted application. |
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