摘要
目的观察康复新液联合生物反馈治疗对复杂性肛瘘切口愈合及肛门功能恢复的影响。方法选取2015年10月至2017年1月接收的复杂性肛瘘患者106例为研究对象,随机分为对照组与研究组,各53例。两组均给予常规治疗,对照组在此基础上给予康复新液治疗,研究组在对照组的基础上给予生物反馈治疗。统计两组术后7、14、21 d创面疼痛评分、渗液评分和肉芽生长评分,记录两组术后创面愈合所用天数,观察两组入院时及术后2个月排便情况、肛门功能Williams评分及健康调查简表(SF-36)评分。结果术后7、14、21 d研究组疼痛评分、渗液评分及肉芽生长评分均显著低于对照组(P均<0.01);研究组创面愈合时间显著少于对照组(P<0.01);术后2个月两组排便次数、排便困难、排便不尽感等评分均比入院时显著降低(P均<0.01),且研究组显著低于对照组(P均<0.01);术后2个月两组Williams评分良好率均比入院时显著提高(P<0.05,P<0.01),且研究组显著优于对照组(P<0.05);术后2个月两组SF-36各维度评分均比入院时显著提高(P均<0.05),且研究组显著高于对照组(P均<0.05)。结论康复新液联合生物反馈治疗复杂性肛瘘患者,有利于促进术后切口愈合及肛门功能恢复。
Objective To observe the influences of Kangfuxin liquid combined with biofeedback therapy on wound healing and anal function recovery of complex anal fistula. Methods A total of 106 patients with complex anal fistula treated from October 2015 to January 2017 were selected as study objects and were divided into control group and study group randomly（ n = 53,each）. The conventional treatment plus Kangfuxin liquid was given in control group,and the biofeedback therapy was given in study group based on the regimen of control group. Wound pain score,percolation score and granulation growth score at 7-,14-and 21-day after surgery were recorded; the time of wound healing was recorded after surgery; defecation,anal Williams function score and 36-Item short form health survey（ SF-36） score were observed at admission and 2 postoperative months. Results The scores of pain,percolation and granulation tissue growth at 7-,14-and 21-day after surgery were significantly lower in study group than those in control group（ all P〈0. 01）. Compared with control group,the time of wound healing significantly decreased in study group（ all P〈0. 01）. The scores of defecation frequency,defecation difficulty and defecation disorder at postoperative two months were significantly lower than those at admission in both two groups（ all P〈0. 01） and were significantly lower in study group than those in control group（ all P〈0. 01）. At postoperative two months,both Williams score and SF-36 dimension scores were significantly higher than those at admission in two groups（ P〈0. 05,P〈0. 01） and were significantly higher in study group than those in control group（ all P〈0. 05）. Conclusion Kangfuxin liquid combined with biofeedback therapy can promote postoperative wound healing and recovery of anal functionin in patients with complex anal fistula.
出处
《中国临床研究》
CAS
2018年第2期180-183,188,共5页
Chinese Journal of Clinical Research
基金
四川省卫生厅科研基金项目(150576)
关键词
康复新液
生物反馈
复杂性肛瘘
切口愈合
肛门功能
健康调查简表
Kangfuxin liquid
Biofeedback therapy
Complex anal fistula
Wound healing
Anal function
36-item short form health survey
