中药熏洗坐浴对肛瘘术后创面愈合的影响

Clinical efficacy of treating anal fistula healing by fumigation in TCM

目的：观察中药熏洗坐浴对肛瘘患者术后创面愈合的影响。方法：将60例行高位后铁蹄形肛瘘切开挂线术患者随机分为治疗组和对照组,各30例。两组患者均在鞍麻下行高位后铁蹄形肛瘘切开挂线术。术后常规予以抗感染3~5d。对照组采用高锰酸钾熏洗坐浴,并用生肌玉红膏纱条换药。治疗组采用中药坐浴方熏蒸坐浴,并用生肌玉红膏纱条换药。观察两组的临床效果。结果：治疗组在术后疼痛、水肿、术后创面面积、创面纵径方面的改善情况优于对照组,差异均具有显著性（P〈0.01,P〈0.05）。治疗组创面愈合时间明显低于对照组,两组比较差异具有显著性（P〈0.01）。结论：中药熏洗坐浴能够减轻肛瘘术后疼痛,改善创面水肿,促进创面愈合,缩短愈合时间,疗效确切,是一种有效的方法。

Objective： To observe clinical efficacy of the fumigation on anal fistula healing. Methods： 60 cases were randomly divided into the treatment group and the control group, 30 cases in each group. Both groups were treated with potassium permanganate plus the Shengji Yuhong cream. The treatment group were treated by the fumigation plus the Shengji Yuhong cream. Results： The postoperative pain, edema, postoperative wound area, wound longitudinal diameter in the treatment group were better than those in the control group; the differences were statistically significant（P〈0.01, P〈0.05）. The wound healing time in treatment group was significantly lower（P〈0.01）. Conclusion： Treating anal fistula healing by fumigation can improve wound edema, promote wound healing, shorten healing time and efficacy, and is worthy of promotion.