本文選題：肛周膿腫術(shù)后 + 肛腸熏洗儀��； 參考：《山東中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:肛周膿腫術(shù)后患者使用復(fù)方黃柏液100ml入肛腸熏洗儀熏洗坐浴治療,通過對肛腸熏洗儀熏洗坐浴溫度、時(shí)間的調(diào)控,優(yōu)化并建立肛腸熏洗儀(溫度和時(shí)間)在肛周膿腫術(shù)后熏洗坐浴治療的最佳治療方案。方法:通過文獻(xiàn)研究和對使用肛腸熏洗儀熏洗坐浴治療的患者進(jìn)行問卷調(diào)查,發(fā)現(xiàn)溫度為35~38℃時(shí),時(shí)間為25~30min時(shí),熏洗坐浴治療效果較好。選取溫度為35℃、38℃,時(shí)間為25min、30min,進(jìn)行雙因素雙水平的臨床研究。按照析因設(shè)計(jì)試驗(yàn)方案分成為四組,分別為A1B1(35 25min℃)組、A1B2(35 30min)℃組、A2B1(38 25min℃)組、A2B2(38 30min℃)組,每組15例。使用Excel軟件生成01~60隨機(jī)數(shù)字并分為四組,根據(jù)患者入院順序?qū)?yīng)的隨機(jī)數(shù)字分入各組內(nèi)行相關(guān)治療,在術(shù)前及術(shù)后相同常規(guī)檢查、治療的基礎(chǔ)上,于術(shù)后第2天開始每日晨起后分別使用肛腸熏洗儀熏洗坐浴,并予大黃油紗、九華膏常規(guī)換藥,每日一次。觀察術(shù)后不同時(shí)期患者肛門疼痛、創(chuàng)面滲出、肉芽生長、坐浴后主觀感受情況及創(chuàng)面面積,并進(jìn)行統(tǒng)計(jì)分析。結(jié)果:復(fù)方黃柏液100ml入肛腸熏洗儀對肛周膿腫術(shù)后患者進(jìn)行熏洗坐浴治療,治療第10天的總療效A2B1(38 25min℃)組明顯優(yōu)于其他三組;治療第1天、第3天各觀察指標(biāo)無明顯差異(P0.05);治療第7天溫度為38℃時(shí)A2B1組創(chuàng)面肉芽生長情況優(yōu)于其他三組,其他觀察指標(biāo)無明顯差異(P0.05);治療第10天A2B1(38℃25min)組肛門疼痛、創(chuàng)面滲出、肉芽生長、主觀感受情況均優(yōu)于其他各組(P0.05),創(chuàng)面愈合率A2B1組明顯優(yōu)于其他各組。結(jié)論:肛周膿腫術(shù)后患者使用復(fù)方黃柏液100ml入肛腸熏洗儀熏洗坐浴治療,通過對溫度和時(shí)間的調(diào)控,熏洗坐浴治療10天后溫度為38℃、時(shí)間為25min的治療效果最佳。
[Abstract]:Objective: to treat perianal abscess patients with compound 100ml into anus and intestine fumigation instrument, and to control the temperature and time of sitting bath by anorectal fumigation instrument.Optimization and establishment of anus and intestinal fumigation instrument (temperature and time) in perianal abscess postoperative fumigation and sitting bath treatment of the best treatment.Methods: by means of literature study and questionnaire survey of patients treated with anorectal fumigation instrument, it was found that the effect of fumigation and sitting bath was better when the temperature was 35 ~ 38 鈩，

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