目的 探讨行肛周脓肿切开引流术后采取消肿止痛方坐浴治疗的效果。方法 选取住院行肛周脓肿切开引流术的肛周脓肿患者作为研究对象,随机分为两组。对照组术后给予常规治疗,观察组在其基础上联合消肿止痛方坐浴治疗,比较两组患者术后疗效的差异。结果 观察组总有效率达93.3%,显著高于对照组有效率80.0%,差异有统计学意义(P＜0.05)。观察组术后肛周水肿消失时间、创口渗液消失时间、创口疼痛消失时间、排尿困难消失时间及创口愈合时间均显著早于对照组患者(P＜0.05)。观察组术后6个月随访发现有3例脓肿复发,对照组术后6个月随访发现有7例脓肿复发,两组之间差异有统计学意义(P<0.05)。对照组18例形成肛瘘,观察组16例形成肛瘘。两组差异无统计学意义。观察组总复发率为63.3%,显著低于对照组复发率83.3%,两组之间差异有统计学意义(P＜0.05)。观察组患者术后总满意率达96.7%,显著高于对照组总满意率83.3%(P＜0.05)。结论 行手术治疗后的肛周脓肿患者,术后在常规治疗的基础上联合消肿止痛方坐浴治疗,能够有效促进患者恢复进展,降低术后复发率,提高患者的疗效及满意度,值得临床上进一步推广。

Objective To explore the effect of hip bath therapy using detumescence and analgesia prescription after surgical incision and drainage of perianal abscess.Methods Patients treated with perianal abscess incision and drainage in Wuxi Hospital of Traditional Chinese Medicine in recent years were divided into two groups.The control group was treated with conventional therapy,while the observation group was treated with combined hip bath therapy using detumescence and analgesia prescription.Comparisons of the curative effects were made between the two groups.Results The total effective rate was 93.3% in the observation group,which was statistically higher than that in the control group (80.0%) (P <0.05).Shorter time of detumescence,wound exudate disappearance,wound pain relieve,dysuria disappearance,and wound healing was observed in the observation group than in the control group (P<0.05).In the follow-up visit 6 months after surgery,there were 3 cases and 7 cases of abscess occurred in the observation group and the control group,respectively,and the difference was statistically significant (P<0.05).There were 18 cases and 16 cases of anal fistula occurred in the observation group and the control group,respectively,with no difference between the two groups.The overall recurrence rate was 63.3% in the observation group,which was significantly lower than that in the control group (83.3%) (P<0.05).In addition,the overall satisfaction rate was 96.7% in the observation group,which was significantly higher than that in the control group (83.3%) (P<0.05).Conclusion After surgical incision and drainage of perianal abscess,conventional treatment combined with hip bath therapy using detumescence and analgesia prescription can effectively promote recovery,reduce recurrence rate,and improve curative effect and satisfaction of patients,which is worthy of clinical application.