复方桐叶烧伤油在肛周脓肿术后患者实施阶段性换药的效果评价

Efficacy of Compound Paulownia Leaf Burn Oil in Dressing Change after Surgery for Perianal Abscess

目的探讨复方桐叶烧伤油在肛周脓肿术后切口换药中的作用。方法选取2018年1月至2019年1月行肛周脓肿一期根治术患者80例,按换药方法的不同将其分为对照组和观察组,每组40例。对照组予术后常规换药,观察组在术后常规换药基础上,依据创面修复各阶段的病理特点,采用复方桐叶烧伤油实施阶段性换药。比较2组创面愈合情况、愈合时间及治疗效果。结果观察组术后第3周时的创面愈合率为(66.50±13.47)%高于对照组的(47.30±9.78)%(P<0.05),术后第4周时的创面愈合率为(84.66±8.28)%高于对照组的(69.18±10.05)%(P<0.05);观察组创面愈合时间为(27.75±4.46)d,短于对照组的(30.15±4.11)d(P<0.05);观察组治疗总有效率为100.00%,高于对照组的80.00%(P<0.05)。结论在肛周脓肿术后切口换药中采用复方桐叶烧伤油,依据创面修复各个阶段的病理生理特点,术后分阶段用药,能提高创面愈合效果,缩短愈合时间。

Objective To investigate the role of compound paulownia leaf burn oil in dressing change after surgery for perianal abscess.Methods Eighty patients who underwent one-stage radical operation from January 2018 to January 2019 for perianal abscess were divided into control group and observation group,with 40 patients in each group.Both groups received routine dressing change.Additionally,the observation group was given compound paulownia leaf burn oil for periodic dressing change according to the pathological characteristics of wound healing at different stages.Wound healing,healing time and treatment outcome were compared between the two groups.Results The wound healing rates at 3 and 4 weeks after operation and the total effective rate in the observation group were higher than those in the control group((66.50±13.47)%vs(47.30±9.78)%,(84.66±8.28)%vs(69.18±10.05)%,and 100.00%vs 80.00%,respectively;P<0.05).The wound healing time in the observation group was shorter than that in the control group((27.75±4.46)days vs(30.15±4.11)days,P<0.05).Conclusion According to the pathophysiological characteristics of wound healing at different stages,the application of compound paulownia leaf burn oil in dressing change can improve wound healing and shorten healing time after surgery for perianal abscess.