复方黄柏液坐浴联合红光照射对肛周脓肿术后康复的影响
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Clinical Study on Sitz Bath with Compound Huangbai Liquid Combined with Red Light Irradiation on Postoperative Rehabilitation of Perianal Abscess
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    摘要:

    目的:观察复方黄柏液坐浴联合红光照射对肛周脓肿热毒炽盛证患者术后康复的影响。方法:选 取78 例肛周脓肿热毒炽盛证患者,以随机数字表法分为观察组与对照组各39 例。对照组术后给予红光照射治 疗,观察组在对照组基础上给予复方黄柏液坐浴治疗。2 组均治疗2 周。比较2 组临床疗效、中医证候评分、 创面愈合情况、炎症因子及生长因子水平。结果: 术后2 周, 观察组总有效率100%, 高于对照组 89.74%(P<0.05)。2 组肛门肿痛、夜寐不安、口干便秘、恶寒发热、小便困难、触之有波动感评分均较术前 1 d 降低(P<0.05),观察组上述6 项中医证候评分均低于对照组(P<0.05)。2 组创面视觉模拟评分 法(VAS)、创面渗液、创面水肿评分均较术后1 d 降低(P<0.05),观察组上述3 项评分均低于对照组(P< 0.05)。观察组创面愈合时间短于对照组(P<0.05)。2 组血清白细胞介素-6(IL-6)、白细胞介素-8(IL-8)、 肿瘤坏死因子-α(TNF-α) 水平均较术前1 d 降低(P<0.05),观察组血清IL-6、IL-8、TNF-α 水平均低于对 照组(P<0.05)。2 组血清转化生长因子-β(TGF-β)、血管内皮生长因子(VEGF)、表皮生长因子(EGF) 水 平均较术前1 d 升高(P<0.05),观察组血清TGF-β、VEGF、EGF 水平均高于对照组(P<0.05)。结论:复 方黄柏液坐浴联合红光照射治疗可减轻肛周脓肿热毒炽盛证术后患者创面疼痛、渗液及水肿情况,抑制机体炎 症反应,促进生长因子表达,有利于促进术后创面愈合。

    Abstract:

    Abstract: Objective: To observe the effect of sitz bath with Compound Huangbai Liquid combined with red light irradiation on postoperative rehabilitation of perianal abscess with intense heat- toxin syndrome. Methods : A total of 78 cases of patients with perianal abscess with intense heat- toxin syndrome were selected and divided into the observation group and the control group according to the random number table method,with 39 cases in each group. The control group was treated with red light irradiation, and the observation group was additionally treated with sitz bath with Compound Huangbai Liquid based on the treatment of the control group. Both groups were treated for 2 weeks. The clinical effects,traditional Chinese medicine(TCM) syndrome scores,wound healing situation,and the levels of inflammatory factors and growth factors were compared between the two groups. Results: The total effective rate of 2 weeks after operation was 100% in the observation group,higher than that of 89.74% in the control group (P<0.05). The scores of anal swelling and pain,restless sleep at night,dry mouth and constipation,aversion to cold and fever,difficult urination,and fluctuation of the wound in the two groups were decreased when compared with those 1 day before operation (P<0.05), and the above six TCM syndrome scores in the observation group were lower than those in the control group (P<0.05). The scores of Visual Analogue Scale (VAS) of wound, wound effusion, and wound edema in the two groups were decreased when compared with those 1 day after operation (P<0.05),and the above three scores in the observation group were lower than those in the control group (P<0.05). The time for wound healing in the observation group was shorter than that in the control group (P<0.05). The levels of interleukin- 6 (IL- 6), interleukin- 8 (IL- 8), and tumor necrosis factor- α (TNF- α) in serum in the two groups were decreased when compared with those 1 day before operation (P<0.05),and the levels of IL-6,IL-8,and TNF-α in serum in the observation group were lower than those in the control group (P<0.05). The levels of transforming growth factor- β (TGF-β),vascular endothelial growth factor (VEGF),and epidermal growth factor (EGF) in serum in the two groups were increased when compared with those 1 day before operation (P<0.05),and the levels of TGF-β,VEGF,and EGF in serum in the observation group were higher than those in the control group (P<0.05). Conclusion:For patients with perianal abscess with intense heat-toxin syndrome after operation,sitz bath with Compound Huangbai Liquid combined with red light irradiation can relieve the pain, exudation, and edema of the wound, inhibit the body's inflammatory responses, and promote the expression of growth factors and postoperative wound healing.

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马占房,赵文钱,林达勇.复方黄柏液坐浴联合红光照射对肛周脓肿术后康复的影响[J].新中医,2024,56(4):68-73

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  • 在线发布日期: 2024-02-28
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