临床上肛裂的根治疗法多采用手术疗法,由于肛门的生理结构、功能特点,决定了肛裂切除手术需要做开放式切口,切口愈合速度缓慢、创面水肿、术后疼痛感极强等问题则成为肛肠科医生工作的重点、难点。中药熏洗法是中医传统外治法之一,以中医的整体观念为指导,四诊合参,广泛灵活应用于临床。本文通过检索相关临床文献,对中药熏洗促进肛裂术后创面恢复临床情况进行总结分析,为临床肛裂的创面恢复提供参考。Clinical treatment of anal fissures mostly adopts surgical therapy, due to the physiological structure and functional characteristics of the anus, anal fissure resection surgery needs to make an open incision, and the problems of slow healing of the incision, wound edema, and strong postoperative pain have become the key points of anorectal surgeons’ work and difficult points. The Chinese medicine fumigation method is one of the traditional external treatments of Chinese medicine, which is widely and flexibly applied to the clinic with the holistic concept of Chinese medicine as the guide and the four diagnostic methods. This paper summarizes and analyzes the clinical situation of traditional Chinese medicine fumigation to promote postoperative wound recovery of anal fissures by searching relevant clinical literature, to provide references for clinical wound recovery of anal fissures.
目的本研究旨在探讨针灸联合康复训练对中风后遗症的临床治疗效果及生活能力评分量表(Living Ability Rating Scale,ADL)评分影响。方法选取2021年3月—2023年3月扬中市人民医院收治的102例中风后遗症患者作为研究对象,按不同的治疗方式将所有患者分为研究组(n=51)和对照组(n=51),其中研究组接受熏洗法辅助针灸及康复训练法,对照组接受熏洗法辅助针灸治疗。利用统计学分析两组患者的临床治疗效果、神经功能缺损评分量表(Neurological Impairment Rating Scale,NIHSS)、ADL、改良Barthel指数(Modified Barthel Index,BI)、Fugl-Meyer运动功能评定表(Fugl-Meyer Motor Function Rating,Fugl-Meyer)评分、世界卫生组织生活质量测定量表简表(World H ealth Organization on Quality of Life Brief Scale,WHOQOL-BREF)评分。结果治疗前,比较两组患者的ADL评分、NIHSS评分、BI指数、FugL-Myer评分、QOL-BREF评分,差异无统计学意义(P>0.05);治疗后,研究组的ADL评分、BI指数、FugL-Myer评分、QOL-BREF评分显著较高,NIHSS评分显著较低,临床治疗效果显著较高,与对照组相比,差异有统计学意义(P<0.05)。结论熏洗法辅助针灸及康复训练法中风后遗症患者可显著提升其临床效果,积极提升生活自理能力与生活质量,减少神经功能缺损,值得临床应用。
