摘要
目的探讨蒙脱石散对肛瘘创面愈合的作用。方法选取2019年9月至2020年6月在粤北人民医院肛肠科行肛瘘手术的患者,随机数字表法分为试验组和对照组。对两组肛瘘患者进行常规手术治疗,术后每天换药。对照组按传统方法换药后用凡士林纱条填塞创面,试验组按传统方法换药后使用蒙脱石散外敷于肛瘘创面后再凡士林纱条填塞。换药时记录两组患者住院时间、术后住院时间、术后换药次数、术后第1天及第7天视觉模拟评分量表(VAS)评分、术后第3天及第7天水肿情况。结果共88例患者纳入本研究,试验组46例,男性38例,女性8例,年龄(40.17±11.90)岁;对照组42例,男性35例,女性7性,年龄(38.86±11.73)岁。两组患者均顺利完成手术,术后无明显并发症,试验组无患者对蒙脱石散产生不良反应。试验组患者换药次数[15.0(5.0)次比17.0(8.0)次]、住院时间[14.5(4.0)d比17.0(7.0)d]及术后住院时间[13.0(5.0)d比15.0(7.0)d]均明显低于对照组(均P<0.05),术后第7天试验组患者VAS评分[3.0(1.0)分比4.0(1.0)分]及伤口水肿情况均明显低于对照组(均P<0.05)。结论蒙脱石散可减轻肛瘘术后伤口水肿,促进伤口愈合,减轻术后换药疼痛情况,有利于缩短住院时间。
Objective To explore the effect of montmorillonite powder on wound healing of anal fistula.Methods The patients who underwent anal fistula surgery in Yuebei People's Hospital from September 2019 to June 2020 were selected and divided into an experimental group and a control group by the random number table method.The two groups were treated with routine surgery and changed dressing every day after the operation.In the control group,the wound was changed dressing according to the traditional method,and the wound was filled with petroleum jelly gauze after cleaning the wound;in the experimental group,the wound was changed dressing according to the traditional method and then montmorillonite powder was applied to the anal fistula wound,and filled with petroleum jelly gauze.The hospital stays,postoperative hospital stays,numbers of changing dressing,scores of Visual Analogue Scale(VAS)on the 1st and 7th day after the operation,and edema on the 3rd and 7th day after the operation were recorded.Results A total of 88 patients were included in the study.There were 46 cases in the experimental group,including 38 males and 8 females,and they were(40.17±11.90)years old.There were 42 cases in the control group,including 35 males and 7 females,and they were(38.86±11.73)years old.All the patients successfully completed the operation without obvious postoperative complications,and no patients had adverse reactions to montmorillonite powder in the experimental group.The number of dressing changes[15.0(5.0)times vs.17.0(8.0)times],hospital stay[14.5(4.0)d vs.17.0(7.0)d],and postoperative hospital stay[13.0(5.0)d vs.15.0(7.0)d]in the experimental group were significantly lower than those in the control group(all P<0.05).On the 7th day after surgery,the VAS score[3.0(1.0)vs.4.0(1.0)]and degree of wound edema in the experimental group were significantly lower than those in the control group(both P<0.05).Conclusion Montmorillonite powder can relieve postoperative pain and wound edema,promote wound healing after anal fistula surgery,and shorten hospital stay.
作者
余艳丽
刘成伟
黄冬兰
邹占全
黄燕
罗纯娣
陈绍双
张瑞敏
职雁雄
谭礼美
Yu Yanli;Liu Chengwei;Huang Donglan;Zou Zhanquan;Huang Yan;Luo Chundi;Chen Shaoshuang;Zhang Ruimin;Zhi Yanxiong;Tan Limei(Department of Proctology,Yuebei People's Hospital,Shaoguan 512026,China)
出处
《国际医药卫生导报》
2021年第17期2703-2705,共3页
International Medicine and Health Guidance News
基金
韶关市卫生计生科研项目(Y19068)。
关键词
肛瘘
手术
蒙脱石散
创面愈合
Anal fistula
Surgery
Montmorillonite powder
Wound healing
