清热止痒洗剂对复杂性肛瘘术后创面的影响

Heat-clearing and Anti-itch Lotion Influence on Wound Recovery After Operation of Complex Anal Fistula

目的观察清热止痒洗剂促进复杂性肛瘘术后创面恢复的效果。方法将80例复杂性肛瘘术后患者随机分为观察组和对照组各40例。术后第2天,观察组患者给予清热止痒洗剂熏洗,对照组患者给予高锰酸钾溶液熏洗,两组治疗至创面完全愈合,对创面愈合时间、疤痕面积、用药安全及术后疼痛、渗液、水肿症状进行观察和检测,术后30d时评估临床疗效。结果两组患者术后第5天疼痛、渗液、水肿症状比较差异无统计学意义(P> 0.05);术后第10、15天,观察组患者疼痛、渗液、水肿症状明显改善,与对照组比较差异有统计学意义(P<0.05)。两组患者创面愈合时间、创面疤痕面积、痊愈率比较,观察组明显优于对照组(P <0.05)。治疗过程中两组患者均无明显不良反应发生。结论清热止痒洗剂可促进复杂性肛瘘术后创面恢复,提高临床疗效,加快创面愈合速度,缓解疼痛、渗液、水肿症状,减少疤痕面积。

Objective To observe the effect of heat-clearing and anti-itch lotion on wound recovery after complex anal fistula surgery.Methods Eighty patients with complicated anal fistula were randomly divided into two groups,40 in the observation group and the control group.On the second day after operation,the patients in the observation group were given a heat-clearing and anti-itching agent for fumigation,and the control group was given a potassium permanganate solution for fumigation. The twogroups were treated until the wound was completely healed. The woundhealing time, scar area, medication safety and Postoperative pain, exudate,edema symptoms were observed and detected, and clinical efficacy wasevaluated 30 days after surgery. Results There was no significant differencein pain, exudate and edema on the 5th day after operation (P > 0.05). On the10th and 15th day after operation, the symptoms of pain, exudate and edemawere significantly improved in the observation group. Group differenceswere significant (P < 0.05). The wound healing time, wound area andhealing rate of the two groups were significantly better in the observationgroup than in the control group (P < 0.05). There were no significantadverse reactions in the two groups during the treatment. Conclusion Heatclearingand anti-itch lotion can promote the recovery of complex analfistula wounds, improve clinical efficacy, speed up wound healing, relievepain, exudate and edema, and reduce scar area.