文章摘要
曾琳,石婷,肖秋平,邱丽娟.自拟清消外洗方治疗湿热下注型低位单纯性肛瘘术后创面42例疗效观察[J].,2025,34(1):109-114
自拟清消外洗方治疗湿热下注型低位单纯性肛瘘术后创面42例疗效观察
Observation on the Curative Effect of 42 Cases of Postoperative Wounds of Low Simple Anal Fistula of Damp - Heat Pouring Downward Type Treated with Self - made Qingxiao External Washing Prescription
投稿时间:2024-04-08  
DOI:
中文关键词: 自拟清消外洗方  肛瘘术后  创面愈合  湿热下注
英文关键词: Qingxiao External Washing Prescription  Postoperative Anal fistula  Wound Healing  Syndrome of Downward Transmission of Damp - heat
基金项目:
作者单位
曾琳 厦门市第三医院中医肛肠科福建 厦门 361100
 
石婷 福建中医药大学 福建 福州 350108
 
肖秋平 厦门市中医院肛肠科 福建 厦门 361000 
邱丽娟 厦门市中医院肛肠科 福建 厦门 361000 
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中文摘要:
      目的:观察自拟清消外洗方熏洗坐浴治疗湿热下注型低位单纯性肛瘘术后创面愈合的临床疗效与药物安全性。方法:纳入肛肠科诊断为湿热下注型低位单纯性肛瘘并在骶麻下行低位肛瘘切除术的住院患者 88 例 ,每组各 44 例。 对照组予高锰酸钾溶液熏洗坐浴;观察组予自拟清消外洗方熏洗坐浴。比较两组患者的创面面积、愈合率、疼痛、创面肉芽生长、住院总天数、最后创面愈合时间及临床疗效。结果:治疗后,两组患者创面面积、愈合率、疼痛、创面肉芽生长、住院总天数、最后创面愈合时间均优于治疗前,且观察组优于对照组,差异有统计学意义(P < 0. 05).总体疗效:对照组治愈率为61 .54% ,有效率为 100% ; 观察组治愈率为85.71% ,有效率为100% 。两组总体疗效比较有统计学差异 (P <0. 05) ,观察组优于对照组。停止用药 1 周后 ,对照组治愈率 76.92% ,观察组治愈率95.24% 总体疗效组间比较差异有统计学意义 (P < 0. 05)。结论:自拟清消外洗方疗效确切,能够有效促进创面愈合。
英文摘要:
      Objective To observe the clinical efficacy and drug safety of Qingxiaowaixifang fumigation and sitz bath in the treat- ment of postoperative wound healing of simple low - position anal fistula of damp - heat betting type.Methods 88 hospitalized patients diagnosed with low - position simple anal fistula under sacral anaesthesia and low - position anal fistula under sacral anesthesia were enrolled in the anorectal department of the hospital ,44 cases in each group. The treatment group was given Qingxiaowaixifang to fumi- gate and wash the sitz bath ,and the control group was given the potassium permanganate solution fumigation and wash the sitz bath.The wound area , healing rate ,pain ,wound granulation growth ,total days of hospitalization ,final wound healing time and clinical effi- cacy were compared between the two groups.Results After treatment ,the wound area ,healing rate ,pain ,wound granulation growth , total hospitalization days ,and final wound healing time of the two groups were better than those before treatment ,and the treatment group was better than the control group. The difference was statistically significant (P < 0.05) .Overall curative effect : The cure rate in the treatment group was 85. 71% ,and the effective rate was 100% ;the cure rate in the control group was 61 . 54% , and the effec- tive rate was 100% .There was a statistical difference in the overall curative effect between the two groups(P <0.05) ,and the treat- ment group was better than C ontrol group. One week after stopping the medication ,the cure rate in the treatment group was 95. 24%, and the cure rate in the control group was 76. 92% .The difference in overall efficacy between the groups was statistically significant (P<0.05) .Conclusion It shows that Qingxiaowaixi Decoction has a definite curative effect and can effectively promote wound healing. Key words:Qingxiao External Washing Prescription; Postoperative Anal fistula;Wound Healing;Syndrome of Downward Transmission of Damp - heat
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