复方角菜酸酯乳膏应用于肛瘘肛周脓肿术后的疗效观察

Efficacy observation of compound carraghenates emulsifiable plaster in postoperative perianal abscess of anal fistula

目的探讨复方角菜酸酯乳膏应用于肛瘘肛周脓肿术后的临床疗效。方法选取本院收治的肛瘘肛周脓肿患者78例,随机分为2组,各39例。2组患者均根据自身肛瘘肛周脓肿病情,采取相应的手术治疗,对照组于术后使用生肌玉红膏治疗,治疗组于术后使用复方角菜酸酯乳膏治疗。比较2组术后肛周创面的疼痛情况以及术后创面愈合的时间。结果治疗组术后Ⅲ级疼痛的比例显著低于对照组,差异有统计学意义(P<0.01)。治疗组术后用药后创面在14 d、21 d内愈合的比例明显大于对照组,差异有统计学意义(P<0.05)。结论复方角菜酸酯乳膏对肛瘘肛周脓肿术后减轻创面疼痛和促进创面的修复具有确切的临床疗效,值得临床推广。

Objective To observe the clinical efficacy of compound carraghenates emulsifiable plaster in postoperative perianal abscess of anal fistula.Methods Seventy-eight anal fistula patients with perianal abscess in our hospital were selected and randomly divided into control group（n=39） and treatment group（n=39）.The two groups received relevant operation according to their own conditions.The control group received Shengji Yuhong plaster after operation,and the treatment group received compound carraghenates emulsifiable plaster after operation.The pain condition of perianal wound and postoperative wound healing time of the two groups were compared.Results The rate of grade 3 pain in the treatment group was obviously lower than that in the control group（P〈0.01）.The rate of wound healing with 14 d,21 d in the treatment group were obviously higher than that in the control group（P〈0.05）.Conclusion Compound carraghenates emulsifiable plaster for postoperative perianal abscess of anal fistula has proved effect on releasing wound pain and promoting wound repair.It′s worthy of clinical application.