Application of steaming and douche with traditional Chinese medicine in children with anal fistula after therapy of cutting with thread ligation
WANG Chen1 YANG Wei2 ZHAO Lingling1 LOU Chaosheng1 WU Xian1 QIU Jianming3 YANG Guangen3▲
1.Department of Anorectal Surgery, Wenzhou Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical University, Zhejiang Province, Wenzhou 325000, China;
2.Department of Anorectal Surgery, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200120, China; 3.Department of Anorectal Surgery, Hangzhou Third People’s Hospital, Zhejiang Province, Hangzhou 310000, China
Abstract：Objective To observe the curative effect of steaming and douche with traditional Chinese medicine after therapy of cutting with thread ligation of anal fistula in children. Methods Sixty children with anal fistula admitted to Wenzhou Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical University from September 2018 to September 2020 were selected and divided into observation group and control group by random number table method, with 30 cases in each group. The control group was treated with therapy of cutting with thread ligation, and the observation group was treated with steaming and douche with traditional Chinese medicine on the basis of control group. The scores of pain and pruritus, the time to fall asleep, and the scores of edema and exudation degree were compared between the two groups before surgery and 3, 7 d after surgery. The efficacy of the two groups was compared two months after surgery. Results The scores of pain and pruritus, and the scores of edema and exudation degree of two groups at 3 d after surgery were lower than those before surgery, and the time to fall asleep was shorter than that before surgery, the scores of pain and pruritus, and the scores of edema and exudation degree of two groups at 7 d after surgery were lower than those at 3 d after surgery, and the time to fall asleep was shorter than that at 3 d after surgery, the differences were statistically significant (P＜0.05). The scores of pain and pruritus, and the scores of edema and exudation degree of observation group at 7 d after surgery were lower than those of control group at the same time point, and the time to fall asleep was shorter than that of control group at the same time point, the differences were statistically significant (P＜0.05). Two months after surgery, the curative effect of the observation group was better than that of the control group, and the difference was statistically significant (P＜0.05). Conclusion The steaming and douche with traditional Chinese medicine has positive therapeutic effect on anal fistula in children, which can improve the effective rate of the therapy of cutting with thread ligation, reduce pain, shorten the time to fall asleep, and reduce postoperative edema and seepage degree, which is worthy of further clinical promotion.
王辰1 杨巍2 赵玲玲1 娄朝胜1 吴贤1 裘建明3 杨关根3▲. 中药熏洗在小儿肛瘘切开挂线术后的应用[J]. 中国医药导报, 2023, 20(11): 123-126.
WANG Chen1 YANG Wei2 ZHAO Lingling1 LOU Chaosheng1 WU Xian1 QIU Jianming3 YANG Guangen3▲. Application of steaming and douche with traditional Chinese medicine in children with anal fistula after therapy of cutting with thread ligation. 中国医药导报, 2023, 20(11): 123-126.
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