溃疡散联合常规西药对肛瘘挂线术后创面愈合及术后感染的影响

Ulcer Power Combined with Conventional Medicine for Wound Healing and Postoperative Infections after Anal Fistula Seton Surgery

目的:探讨溃疡散联合常规西药对肛瘘挂线术后创面愈合及术后感染的影响,为临床诊断治疗提供参考。方法:本组70例肛瘘挂线术后患者根据随机数字表法随机分为对照组35例和观察组35例。对照组采用常规西药治疗,观察组在对照组基础上消溃散治疗。对比分析两组患者治疗后临床疗效,创面愈合时间和创面愈合率及术后感染情况。结果:观察组治疗后总有效率(94.29%)显著高于对照组(77.14%),且有统计学差异(P<0.05);观察组术后创面平均愈合时间显著短于对照组,且差异具有统计学意义(P<0.05);观察组术后7、14 d创面愈合率显著高于对照组,且差异具有统计学意义(P<0.05);观察组术后2、3 d疼痛评分均显著低于对照组,且差异具有统计学意义(P<0.05);观察组未发生术后感染,对照组发生1例术后感染。结论:溃疡散联合常规西药对肛瘘挂线术后患者疗效,创面愈合时间短,创面愈合率高,且疼痛较轻,无术后感染,具有重要临床研究价值。

Objective： To investigate the effect of ulcers powder combined with conventional Western medicine on wound healing and postoperative infection after anal fistula seton surgery and to provide the reference for clinical diagnosis and treatment. Methods： 70 cases of anal fistula seton patients were randomly divided into control group（ n = 35） and observation group（ n = 35） according to the random number table. Control group used conventional western medicine treatment and observation group added ulcer powder. Comparative analysis of the clinical efficacy,wound healing time and the rate of wound healing and postoperative infection of the two groups was carried out. Results： The total treatment efficiency（ 94. 29%） in the observation group was significantly higher than that（ 77. 14%） in the control group and there was statistical significance（ P〈 0. 05）. The observation group＇s postoperative wound healing time was significantly shorter than that of the control group and the difference was statistically significant（ P〈 0. 05）. In the observation group 7 d and 14 d after treatment,wound healing rate was significantly higher and the difference was statistically significant（ P〈 0. 05）.In the observation group 2 d and 3 d after treatment,pain scores were significantly lower than that of the control group and the difference was statistically significant（ P〈 0. 05）. The postoperative infection did not occur in the observation group and the control group had one case of postoperative infection. Conclusion： Combined conventional medicine and ulcer powder after anal fistula seton surgery has obvious efficacy and can promote the wound healing time and has high rate of wound healing and less pain with no postoperative infection. It has important clinical research value.