补阳还五汤VI服配合中药坐浴促进肛瘘术后创面愈合的临床观察

Promotion of Oral Buyang Huanwu Tang and Chinese Medicine Sitz Bath on Wound Healing after Operation for Anal Fistula

为观察补阳还五汤口服配合中药坐浴促进肛瘘术后创面愈合的疗效，将120例肛瘘术后患者随机分为对照组和治疗组各60例。两组均按常规治疗，对照组术后用1：5000PP液坐浴，治疗组术后采用补阳还五汤口服配合中药坐浴，观察术后创口的肿胀、疼痛、瘙痒、分泌物的情况和创面愈合时间。结果显示，治疗组显效22例，有效36例，无效2例，总有效率为97％；对照组显效14例，有效31例，无效15例，总有效率为75％；治疗组疗效明显优于对照组（PdO．05）。结果表明，补阳还五汤口服配合中药坐浴在肛瘘术后消肿、止痛、止痒、促进创面愈合等方面疗效满意。

In order to investigate the efficacy of oral Buyang Huanwu Tang （Decoction invigorating Yang for recuperation） and Chinese medicine sitz bath on wound surface healing after operation for anal fistula, the 120 postoperative patients were randomly divided into treatment group and control one, 60 cases for each; Both groups were given conventional treatment, then treatment group was given with oral decoction and sitz bath with Chinese medicine,control one only with 1 ~ 5000 PP solution for sitz bath;then their turgescence, pain ation and secretion of wound,as well wound healing time were observed and compared. As results,in treatment group 22 cases were of excellent response,36 of response,2 of non-response,and total effective rate was 97% ;while in control group,14,31,15 and 75% ,respectively,apparently,treatment group was superior to control group in therapeutic efficacy（ P d0.05）. Results show that oral decoction plus Chinese medicine sitz bath has satisfactory efficacy in detumescence, stopping pain, antipruritic role and promoting wound surface healing and so on.