改良肛裂切除术联合中药坐浴治疗慢性肛裂的疗效分析

曹子康 段文志 何建坤 吴惠婷

[摘要] 目的 探討分析改良肛裂切除术联合中药坐浴治疗慢性肛裂的疗效。方法 方便选取2018年1月—2019年7月该院收治的120例慢性肛裂患者，随机分为实验组（n=60例）与对照组（n=60例）。对照组患者采用肛裂切除术联合中药坐浴进行治疗，实验组患者采用改良肛裂切除术联合中药坐浴进行治疗。结果 实验组患者的临床治疗总有效率96.67%明显高于对照组的85.00%，差异有统计学意义（χ2=4.904，P=0.027<0.05），术后疼痛程度NRS评分（3.61±1.14）分明显低于对照组的（4.85±1.57）分，差异有统计学意义（t=4.950，P=0.000<0.05），疼痛时间（2.06±0.68）d短于对照组的（4.17±1.79）d，差异有统计学意义（t=8.536，P=0.000<0.05），伤口愈合时间（12.53±2.44）d短于对照组的（15.67±3.25）d，差异有统计学意义（t=5.985，P=0.000<0.05），并发症总发生率5.00%明显低于对照组的16.67%，差异有统计学意义（χ2=4.227，P=0.040<0.05）。结论 采用改良肛裂切除术联合中药坐浴治疗慢性肛裂，能够有效降低患者术后疼痛程度，缩短疼痛和伤口愈合时间，降低并发症发生率，具有更高的临床疗效和安全性，值得推广应用。

[关键词] 改良肛裂切除术;中药坐浴;慢性肛裂;临床疗效

[Abstract] Objective To analyze the curative effect of modified anal fissure resection combined with traditional Chinese medicine sitting bath in the treatment of chronic anal fissure. Methods Convenient select from January 2018 to July 2019， 120 patients with chronic anal fissure in the hospital were randomLy divided into experimental group （n=60） and control group （n=60）. The patients in the control group were treated with anal fissure resection combined with traditional Chinese medicine sitting bath， while the experimental group was treated with modified anal fissure resection combined with traditional Chinese medicine sitting bath. Results The total effective rate of clinical treatment in the experimental group was 96.67%， which was significantly higher than 85.00% in the control group，the difference was statistically significant （χ2=4.904， P=0.027<0.05）. The NRS score of postoperative pain degree （3.61±1.14）points was significantly lower than that of the control group （4.85±1.57）points，the difference was statistically significant（t=4.950， P=0.000<0.05）. The pain time （2.06±0.68） d was shorter than that of the control group （4.17±1.79） d，the difference was statistically significant （t=8.536， P=0.000<0.05）， and the wound healing time （12.53±2.44） d was shorter than that of the control group （15.67±3.25） d ，the difference was statistically significant（t=5.985， P=0.000<0.05）.The total incidence of complications was 5.00%， which was significantly lower than 16.67% of the control group，the difference was statistically significant （χ2=4.227， P=0.040<0.05）. Conclusion Modified anal fissure resection combined with traditional Chinese medicine sitting bath in the treatment of chronic anal fissure can effectively reduce the degree of postoperative pain， shorten the time of pain and wound healing， reduce the incidence of complications， has higher clinical efficacy and safety， and is worth popularizing and applying.