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唐燕,廖若夷,杨媚月,刘彬,陈芊妤.痈疽仙方油剂治疗腹部手术术后切口脂肪液化的疗效观察[J].湖南中医药大学学报,2021,41(3):457-461[点击复制] |
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| 痈疽仙方油剂治疗腹部手术术后切口脂肪液化的疗效观察 |
| 唐燕,廖若夷,杨媚月,刘彬,陈芊妤 |
| (湖南中医药大学护理学院, 湖南 长沙 410208;湖南中医药大学第一附属医院, 湖南 长沙 410007) |
| 摘要: |
| 目的 探讨中医护场理论指导下的痈疽仙方油剂对腹部手术术后切口脂肪液化的临床疗效。方法 将70例腹部手术术后切口脂肪液化的患者随机分为观察组（32例）和对照组（38例）。对照组给予常规换药法，观察组在其基础上外敷痈疽仙方油剂，比较两组患者切口视觉模拟评分法（visual analogue scale， VAS）疼痛程度、患者舒适度量表（general comfort questionnaire， GCQ）评分、切口渗液量、切口面积、换药次数以及切口愈合疗效。结果 首次换药2 h后，与治疗前比较，两组VAS评分降低，GCQ评分升高，且治疗后观察组较对照组改善更明显（P<0.05）；干预1、2周后，两组患者切口渗液情况皆好转，且观察组优于对照组（P<0.05）；干预2周后，两组患者切口面积均显著缩小，且观察组切口面积小于对照组（P<0.05）。治疗后，观察组切口愈合度为96.9%，高于对照组76.3%（P<0.05）；观察组干预期间换药次数少于对照组（P<0.05）。结论 腹部手术术后切口脂肪液化患者采用痈疽仙方油剂换药，能够有效缓解疼痛、减少渗液的生成、减少换药次数、延长敷料的使用时间、加快切口愈合，从而提高患者身体舒适度，值得临床推广应用。 |
| 关键词: 腹部手术切口 脂肪液化 痈疽仙方油剂 |
| DOI：10.3969/j.issn.1674-070X.2021.03.025 |
| 投稿时间：2020-06-03 |
| 基金项目:湖南省中医药管理局科研项目（201781）；湖南省教育厅重点科研项目（17A162）；湖南省教育厅研究生科研创新项目（CX20190550）；湖南中医药大学校级科研项目课题（2018XJJJ48）；湖南中医药大学护理学院开放基金项目（2019HLX04）；湖南省残疾人康复科研项目（2019XK030）。 |
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| Observation of Curative Effect of Carbuncle Fairy Formula Oil in Treating Fat Liquefaction of Incision After Abdominal Operation |
| TANG Yan,LIAO Ruoyi,YANG Meiyue,LIU Bin,CHEN Qianyu |
| (School of Nursing, Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;The First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China) |
| Abstract: |
| Objective To explore the clinical effect of carbuncle fairy formula oil based on traditional Chinese medicine (TCM) Hu-Chang theory on the fat liquefaction of incision after abdominal operation. Methods A total of 70 patients with fat liquefaction of incision after abdominal operation were randomly divided into the observation group (32 cases) and control group (38 cases). The control group was given the conventional dressing change method, and the observation group was externally applied with carbuncle fairy formula oil on the basis of the control group. The visual analogue scale (VAS) pain degree, general comfort questionnaire (GCQ) score, incision fluid volume, incision area, number of dressing changes and incision healing efficacy were compared between the two groups. Results Two hours after the first dressing change, compared with before treatment, VAS score decreased and GCQ score increased in both groups, and the improvement was more obvious in the observation group than the control group after treatment (P<0.05); after 1 and 2 weeks of intervention, the incision exudation of the two groups were improved, and the observation group was better than the control group (P<0.05); after 2 weeks of intervention, the incision area of the two groups was significantly reduced, and the incision area of the observation group was smaller than that of the control group (P<0.05). After treatment, the incision healing in the observation group was 96.9%, which was higher than 76.3% in the control group (P<0.05); the number of dressing changes in the observation group during the intervention period was less than that in the control group (P<0.05). Conclusion Patients with incision fat liquefaction of incision after abdominal operation can use carbuncle fairy formula oil to change dressings, which can effectively relieve pain, reduce the production of exudate, reduce the number of dressing changes, prolong the use time of dressings, and speed up the healing of the incision, thereby improving the comfort of the patient, which worthy of clinical application. |
| Key words: abdominal incision liquefaction of fat carbuncle fairy formula oil |
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