摘要
目的:观察内补黄芪汤口服联合松花粉外用对2型糖尿病合并低位单纯性肛瘘术后创面愈合的作用。方法:将56例2型糖尿病合并低位单纯性肛瘘的患者,采用随机数字表法分为两组各28例,治疗组在术后予松花粉纱条换药并联合内补黄芪汤口服,对照组在术后仅予常规凡士林纱条换药。比较两组治疗21天后的临床疗效,以及治疗后创面疼痛情况、创面渗液情况、肉芽形态情况、创面愈合率,记录患者出院后创面完全愈合时间。结果:治疗组总有效率为92.85%,对照组为78.57%,治疗组疗效优于对照组(P<0.05);治疗后7天、14天、21天,治疗组患者疼痛评分、创面渗液评分、肉芽形态评分均低于对照组(P<0.05);创面愈合率高于对照组,创面完全愈合时间短于对照组(P<0.05)。研究过程中未见明显不良反应。结论:采用内补黄芪汤口服联合松花粉外用治疗2型糖尿病合并低位单纯性肛瘘患者的术后创面,既可减轻患者疼痛及创面分泌物渗出等临床症状,又可缩短创面愈合时间。
Objective:To observe the clinical effect of oral Nei Bu Huangqi decoction and externally-applied pine pollen on postoperative wound healing of type 2 diabetes-complicated low simple anal fistula.Methods:56 cases of patients with type 2 diabetes-complicated low simple anal fistula were randomly divided into two groups by random number table method,28 cases in each group.The treatment group was treated by dressing change of pine pollen gauze strips and with oral Nei Bu Huangqi decoction after operation,while the control group was treated simply by dressing change of conventional vaseline gauze strips after operation.The clinical efficacy was compared between two groups after 21 days of treatment.Wound pain,wound exudate,granulation morphology and wound healing rate were also compared between two groups after treatment.The time of complete wound healing of patients after discharge was recorded.Results:The total effective rate was 92.85% in the treatment group,higher than 78.57% in the control group(P<0.05).The pain score,wound exudate score and granulation morphology score of patients in treatment group were lower than those in control group on 7 th,14 th and 21 th day after treatment(P < 0.05).The wound healing rate of treatment group was higher than that of control group,and the wound healing time of treatment group was shorter than that of control group(P<0.05).No obvious adverse reactions were observed during the study.Conclusion:Oral Nei Bu Huangqi decoction and externally-applied pine pollen for treating postoperative wound of patients with type 2 diabetes-complicated low simple anal fistula can both reduce the patients’ clinical symptoms such as pain and wound secretion exudation,and shorten the time of wound healing.
作者
周佳敏
谭思思
王真权
ZHOU Jia-min;TAN Si-si;WANG Zhen-quan(Hunan University of Traditional Chinese Medicine,Changsha 410000,China;不详)
出处
《山西中医》
2022年第9期16-18,共3页
Shanxi Journal of Traditional Chinese Medicine
基金
湖南省中医药管理局重点项目(编号:2021020)。
关键词
2型糖尿病
肛瘘
内补黄芪汤
松花粉
中医药疗法
type 2 diabetes
anal fistula
Nei Bu Huangqi decoction
pine pollen
therapy of TCM
