消肿溃痈简方治疗热毒炽盛型肛周脓肿术后创面愈合疗效观察
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R657.1+5

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上海浦东新区名中医继承人培养项目( PDZYXK-3-2014022);上海浦东新区名中医工作室建设项目(PDZYXK-3-2014010)


Curative Effect Observation of Op timized Xiaozhong Kuiyong Prescrip tion for Wound Healing after Operation for Perianal Abscess of Toxic Heat Flourishing Type
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    摘要:

    目的:观察消肿溃痈简方治疗热毒炽盛型肛周脓肿术后创面愈合的临床疗效。方法:将60例热毒炽盛型肛周脓肿术后患者随机分为对照组和治疗组各30例。对照组术后予常规敏感抗生素静滴3天、换药和自拟痔科外洗方熏洗肛门;治疗组术后在对照组基础上予口服消肿溃痈简方。7天为1疗程,2组均治疗2疗程。比较2组术后第3天、第7天的视觉疼痛模拟评分(VAS)、创面水肿评分,术后第3天、第7天、第14天创面渗出评分,创面愈合时间,评估2组随访2周的临床疗效。结果:治疗组术后第3天、第7天VAS评分和创面水肿评分均低于对照组( P <0.05)。治疗组术后第3天、第7天、第14天创面渗出评分均低于对照组( P <0.05)。治疗组创面愈合时间较对照组短( P <0.05)。随访2周,2组临床疗效比较,治疗组临床疗效优于对照组,差异有统计学意义( P <0.05)。结论:消肿溃痈方能够明显减轻肛周脓肿术后肛周疼痛、创面水肿及创面渗出等并发症,缩短创面愈合时间,对热毒炽盛型肛周脓肿术后的创面愈合有较好的治疗效果。

    Abstract:

    Objective: To observe the clinical effect of optimized XiaozhongKuiyongprescription for wound healing after operation for perianal abscess of toxic heat flourishing type.Methods:Divided 60 cases of patients of toxic heat flourishing type after operation for perianal abscess into the control group and the treatment group randomly,30 cases in each group.The control group was given routine sensitive antibiotics after operation by intravenous drip for three days,dressing change and self-m ade hemorrhoid washing formula tofumigate and wash the anus,while the treatment group was additionally given the oral administration of optimized XiaozhongKuiyong prescription.The treatment for both groups lasted for two courses,seven days per course.Compared the scores of visual analogue scale(VAS)and wound edem a on the 3 rd and 7 th day after operation as well as the wound exudation scores and wound healing time on the 3 rd ,7 th ,and 14 th day after operation in the two groups.Evaluated the clinical effect of two weeks of follow-up.Results:The scores of VAS and wound edem a in the treatment group on the 3 rd and 7 th day after operation were lower than those in the control group( P <0.05).The wound exudation scores on the 3 rd ,7 th and 14 th day after operation in the treatment group were lower than those in the controlgroup( P <0.05).The wound healing time in the treatment group was shorter than that in the control group( P <0.05).After two weeks of follow-up,the clinical effect in the treatment group was better than that in the control group,difference being significant( P <0.05).Conclusion:The application of XiaozhongKuiyong prescription can significantly reduce anal pain after operation for perianal abscess,wound edem a and wound exudation as well as other complications and shorten the wound healing time.It has a significant effect in treating wound healing after operation for perianal abscess of toxic heat flourishing type.

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周丽波,潘友珍,郑振麟,杨艳黎.消肿溃痈简方治疗热毒炽盛型肛周脓肿术后创面愈合疗效观察[J].新中医,2018,50(9):95-98

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  • 在线发布日期: 2018-09-04
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