摘要
目的:观察复方黄柏液对高位复杂性肛瘘(肛瘘-湿热瘀滞型)术后创面愈合的临床疗效。方法:将60例参与并确诊为高位复杂性肛瘘的住院患者随机分为观察组30例、对照组30例。观察组患者术后采用复方黄柏液创面换药,对照组患者术后采用氯化钠溶液、聚维酮碘溶液创面换药。2组患者均从术后第2天开始换药至创面完全愈合。对比2组患者术后第3天、第7天、第14天创面疼痛、创面水肿、创面渗出、创面肉芽生长、创面愈合时间及治疗疗效。结果:观察组有效率96.7%,对照组有效率90.0%,(P>0.05),差异无计学意义;观察组痊愈率90.0%,对照组痊愈率76.7%,差异有统计学意义(P<0.05);观察组创面愈合时间为(26.35±1.49)天,对照组创面愈合时间为(34.62±1.86)天,差异有统计学意义(P<0.05)。观察组在术后第3天、第7天、第14天创面疼痛、创面水肿、创面渗出、创面肉芽生长的评分均低于对照组,差异有统计学意义(P<0.05)。结论:复方黄柏液可以显著促进高位复杂性肛瘘患者术后创面愈合,减少创面愈合时间。
Objective:To observe the clinical effect of compound Huangbai liquid on postoperative wound healing of high complex anal fistula(anal fistula-damp-heat stasis type).Methods:A total of 60 inpatients who participated and were diagnosed with high complex anal fistula were randomly divided into an observation group of 30 cases and a control group of 30 cases.The patients in the observation group were treated with compound Huangbai solution for wound dressing change after operation,and the patients in the control group were treated with sodium chloride solution and povidone-iodine solution for wound dressing change after operation.Patients in both groups were changed from the second day after surgery until the wounds healed completely.The wound pain,wound edema,wound exudation,wound granulation growth,wound healing time and treatment efficacy were compared between the two groups on the 3rd,7th,and 14th days after operation.Results:The effective rate of the observation group was 96.7%,and the effective rate of the control group was 90.0%,(P>0.05),and the difference was not statistically significant;(0.05);the wound healing time in the observation group was(26.35±1.49)days,and the wound healing time in the control group was(34.62±1.86)days,and the difference was statistically significant(P<0.05).The scores of wound pain,wound edema,wound exudation,and wound granulation growth in the observation group on the 3rd,7th,and 14th days after operation were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Compound Huangbai liquid can significantly promote postoperative wound healing in patients with high complex anal fistula and reduce the wound healing time.
作者
黄丽
黄日龙
侯勇
李明
王建民
HUANG Li;HUANG Rilong;HOU Yong;LI Ming;WANG Jianmin(The First Affiliated Hospital of Anhui University of Chinese Medicine Anhui Hefei 230031,China)
出处
《中医药临床杂志》
2022年第5期961-964,共4页
Clinical Journal of Traditional Chinese Medicine
基金
安徽中医药大学第一附属医院临床科研项目(2020yfyzc43)。
关键词
复方黄柏液
高位复杂性肛瘘
创面
换药
Compound Huangbai solution
High complexity anal
Fistula wound
Dressing change
