Résumé
Objective:To explore the effect of the traditional Chinese medicine fumigating and washing on improving anorectal routine postoperative pain and edema. Methods:From Mar 2013 to Dec 2014,126 cases of anorectal surgery patients were randomly divided into the observation group and the control group. Two groups of patients were given intravenous injection of antibiotics. The control group was treated with Potassium Permanganate bath, sooner or later each time, each time 20 min, continuous bath for 3 days for a course of treatment. The observation group was treated with the use of pain relief, Chinese medicine, sooner or later each time. Fumigation sitz bath for 20 min, each fumigation end in advance disinfection tampons and medication during fasting spicy stimulation food,to prevent the fire caused by dry stool. Satisfaction survey,visual analogue scale (VAS) was used,edema score, postoperative complications and clinical efficacy was analyzed. Results:Before treatment, there was no difference between the two groups of patients with pain and edema (P>0.05) . After treatment with 1-2, the pain and edema of the two groups significantly decreased, but the observation group was significantly lower than that in the control group (P<0.05) . Observation group patients appeared pain, edema, hemorrhage, the number of burning and itching was significantly lower than that in the control group (P<0.05) . The total effective rate in the observation group was significantly higher than that in the control group (P<0.05) . Conclusion:Anorectal diseases surgery patients using traditional Chinese medicine fumigating and washing, can significantly improve pain and edema,reduce the incidence rate of adverse reactions,improve the treatment efficiency.
Résumé
OBJECTIVE:To study the value of bronchoalveolar lavage fluid(BALF) bacteria culture and drug sensitivity test in the hospital-acquired pneumonia(HAP) therapy.METHODS:The bacteria types in BALF samples and drug sensitivity test in 516 HAP cases were analyzed retrospectively.RESULTS:The positive rate of BALF culture was 46.9% with the main pathogenic bacteria of Candida albicans,Acinetobacter baumannii,Pseudomonas aeruginosa,Klebsiella pneumoniae.Of total nosocomial pneumonia,single bacteria infection accounted for 58.9% and mixed infection 41.1%.Candida had no drug resistance against 5-fluorocytosine,amphotericin B.Extended spectrum ? lactamase was found in 75.9% of Escherichia coli and 35.7% of Klebsiella pneumoniae with severe drug resistance.CONCLUSIONS:BALF bacteria culture and drug sensitivity test can provide reference for rational use of drug in the clinic.