摘要
目的观察止痛促愈汤对低位型肛瘘术后创面疼痛及愈合的临床疗效。方法将70例低位型肛瘘患者随机分为对照组与治疗组各35例,对照组予高锰酸钾溶液熏洗联合红外线照射治疗,治疗组在对照组基础上予止痛促愈汤治疗。14 d后观察创面疼痛、水肿、渗出及肉芽组织形态和创面面积等情况,评价创面愈合时间、愈合率及临床疗效。结果两组治疗后创面疼痛、水肿、渗出及肉芽组织形态积分和创面面积较治疗前均有改善(P<0.05),治疗组改善程度优于对照组(P<0.05);治疗组创面愈合时间短于对照组(P<0.05),治疗组创面愈合率及临床总有效率均高于对照组(P<0.05)。结论止痛促愈汤可以改善低位型肛瘘术后创面疼痛、水肿、渗出,促进肉芽组织增生,缩小创面面积,促进创面愈合,提高临床疗效。
Objective To observe the clinical efficacy of Zhitong Cuyu decoction on wound pain and healing of low type anal fistula.Methods 70 patients with low type anal fistula were randomly divided into two groups,35 patients in each group.The control group received a solution of potassium permanganate fumigation combined with infrared radiation,while the treatment group was treated with Zhitong Cuyu decoction on the basis of the control group.After treatment for 14 days,the wound pain,edema,exudation and granulation tissue forms and the wound area were observed,and the wound healing time,healing rate and clinical efficacy were evaluated.Results After treatment,the wound pain,edema,exudation and granulation tissue morphology points and wound area were improved than before treatment（P〈0.05）.The degree of improvement in the treatment group was better than the control group（P〈0.05）.The wounds healing time of treatment group was shorter than the control group（P〈0.05）.The total effective rate of wound healing and clinical efficiency was higher than those in the control group（P〈0.05）.Conclusion Zhitong Cuyu decoction can improve wound pain,edema,exudation of low type anal fistula,promote granulation tissue,reduce wound area and promote wound healing.
作者
谷丰
李春耕
GU Feng;LI Chungeng(Anorectal Department, Tangshan Hospital of Traditinal Chinese Medicine, Tangshan, Hebei 063000, Chin)
出处
《湖南中医药大学学报》
CAS
2017年第11期1269-1271,1298,共4页
Journal of Hunan University of Chinese Medicine
基金
河北省中医药管理局指导研究项目(2014251)
关键词
低位型肛瘘
止痛促愈汤
创面疼痛
创面愈合
肉芽组织形态
low type anal fistula
Zhitong Cuyu decoction
wound pain
wound healing
granulation tissue
