中药内服外敷促进肛瘘电凝术后创面愈合的疗效观察

Oral Administration and External Application of Chinese Herbs to Improve Wound Surface Healing in Anal Fistula after Electrocoagulation

为提高促进肛瘘术后创面愈合的疗效，将60例高位肛瘘电凝术后患者随机分为治疗组和对照组，每组30例。治疗组采用中药内外合治，内治针对不同病期辨证施治，采用不同方剂治疗；外治采用三黄膏纱条和紫银膏纱条引流治疗。对照组采用湿润烧伤膏纱条换药引流治疗。结果显示，两组疗效相近，但在临床症状改善程度、住院时间与治疗费用方面治疗组明显优于对照组。结果表明，针对肛瘘电凝术后不同时期病情变化，辨证论治采用中药内服、外敷，愈合时间短，经济有效，患者易于接受。

This study was to improve wound surface healing in anal fistula after electrocoagulation,60 cases of high anal fistula treated with electrocoagulation were divided into treatment group and control group, 30 cases for each group. Treatment group received oral administration and external application of Chinese herbs,in which syndrome differentiation was applied for internal treatment, and Sanhuang ointment gauze plus Ziyin ointment gauze for external dressing changes,while control group was given with moisture burn ointment gauze for dressing changes. The results showed that both groups had similar efficacy, but treatment group was superior to control group in clinical symptom improvement, hospital stay and medical cost. It is concluded that treatment based on syndrome differentiation in which oral administration and external application of Chinese herbs were applied according to postoperative conditions of patients receiving electrocoagulation surgery,has a shorter wound healing time, which is economic, effective and easily accepted by patients.