| Research background Complexity anal fistula is one of the common anorectal dise ase, patients’groups focused on young men and women, more complexity anal fistula of cli nical performance for at least two or more fistula, outside the mouth, fistula bent or patholo gical changes, and longer than ordinary fistula, is closely related with anal gland infection.H ot and humid betting type complexity anal fistula, based on the clinical status of disease its elf cannot be self-healing, surgery as the main treatment.As is known to all, incision, genera lly not suture, daily bowel movements cause the pollution of wound;Plus the anus periphera 1 nerve is rich, so, postoperative wound healing time, wound pain than other parts of the se nsitive, wound secretion, or wound healing growth of scar cause anal displacement, deforma tion, and thus affect the normal function of the anus, brought great psychological pressure t o the vast number of patients, reduce their quality of life.So good postoperative wound heal ing becomes hot and humid betting type complexity anal fistula patients recovered one of th e key factors, also become the anorectal colleagues one of the important research topic.Trad itional Chinese medicine fumigation method as one of the main treatment of Chinese medici ne external treatment, operation method, with simple, convenient and safe for patients with swelling and pain, promote wound healing and reduce obvious advantages such as drainage of the wound.In our department long-term clinical practice, we give full play to the advanta ges of syndrome differentiation of TCM theory, combined with the clinical field for many y ears, through add and subtract the cutting, developed into different cases in different doses of fistula carbuncle to wash fang, and by using fumigation therapy in treating type complexi ty anal fistula of postoperative wound repair treatment has obtained the good curative effect, for the hot and humid betting type complexity anal fistula treatment expand the train of th ought.Purpose of research Through clinical experiment observation and collect fistula car buncle Fang Xun wash washing in promoting wound healing time, postoperative pain reliev e patients and reduce the rate of drainage and promote the healing of the wound, explore th e fistula carbuncle Fang Xun wash washing in promoting the role of hot and humid betting type complexity anal fistula postoperative wound healing.Research method Experimental design:random parallel control experiment.Selected cases:nantong tongzhou hospital anus bowel division since January 2013 to March 2016,1 00 cases in our hospital during the hot and humid betting type complexity anal fistula of po stoperative patients.Among them,83 cases of male patients,17 cases of female patients, age range for 18 to 65 years old.Treatment methods:patients were randomly divided into two groups:experimental group and control group,50 cases in each group.From experimental gr oup patients after surgery,1 day after first wash with fistula carbuncle Fang Xun wash, and then to wash its form;Control group patients treatment is from 1 day after the surge ry, first the toilet after fumigation with potassium permanganate powder dissolved water, and then wash treatment.In the process of treatment, respectively recorded 2,7,14 days after the operation of two groups of cases pain score, the drainage of the wound, wound healing time, postoperative wound healing rate of 30 days.Research results 1, Recovery rate of 30 days after comparison:the experimental group cure rate was 84%, control group cure rate was 74%, the curative effect is very s ignificant difference between the two groups.2, Wound recovery time comparison:the tim e needed for wound healing is 24-46 days, average healing time was 28.12+/-4.54 d ays, the control wound healing time need 26-50 days, the average healing time was 3 1.03+/-5.61 days, wound healing time between the two groups was very significant difference.3, Drainage and the pain of the wound integral comparison:after 2,7 days tw o category boundary of the drainage and the pain of the wound integral experimental wo und pain points score in the first 14 days later there is still a significant difference with control group, the wound drainage points between the two groups no significant differen ce in the first 14 days.4, Two groups were not found in the process of treatment of adv erse reactions caused by drug use.Research conclusions Fistula carbuncle Fang Xun washing washing can improve cure rate, effective in relieving patients postoperative pain, shorten the healing time, redu ce postoperative wound drainage.Above all fistula carbuncle wash Fang Xun wash for ho t and humid betting type complexity anal fistula postoperative wound healing has a good therapeutic effect.This topic through clinical randomized parallel divided into experiment group and control group, observation and collection of experimental data and the data, fistula carb uncle Fang Xun washing laundry for promoting the hot and humid betting type complexi ty anal fistula postoperative wound healing will provide a scientific basis for the clinical curative effect and mechanism. |
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