清热化瘀方熏洗促进肛瘘术后创面修复的临床疗效评价

The Clinical Effect with Fumigation and Washing of Qingrehuayu Fang for Postoperative Anal Fistula Wound Healing

目的评价清热化瘀方熏洗促进肛瘘术后创面修复的临床疗效。方法采用随机对照临床实验研究方法,将符合纳入标准的70例肛瘘术后患者随机分为两组,治疗组(清热化瘀组)35例,对照组(高锰酸钾组)35例。观察并记录两组患者术后症状如创面疼痛、水肿、渗液情况及肉芽生长情况,同时记录创面愈合天数。结果两组患者术后第3、7、14天在术后创面疼痛、渗液、水肿及肉芽组织形态方面比较差异有统计学意义(P<0.05);治疗组与对照组比较显著缩短愈合天数、提高术后愈合率(P<0.05);两组术后14 d疗效判定差异有统计学意义(P<0.05),治疗组疗效优于对照组。结论清热化瘀方熏洗能明显缩短肛瘘术后创面疼痛、水肿、渗液时间,促进肉芽组织生长,提高创面愈合率,促进创面愈合。

Objective To observe clinical effect with Fumigation and Washing of Qingrehuayu Fang for postoperative anal fistula wound healing. Methods 70 fistula surgery patients were divided into treatment group( Qingrehuayu Fang group) and control group( potassium permanganate group) randomly( n = 35). Observed and recorded the average disappear time of post- operative symptoms,for example the pain、effusion、edema and granulation of postoperative anal fistula wound,and record the number of days of wound healing for two groups. Results Comparing the average disappear time of post- operative symptoms and the days of wound healing between the two groups,the pain,effusion,edema and granulation in the treatment group were significantly reduced than the control group( P < 0. 05); Fumigation and Washing with Qingrehuayu Fang accelerated wound healing and shortened healing time,post- operative healing rate in the observation group was remarkably improved( P < 0. 01); 14 days after surgery,the curative effect difference of two groups were statistically significant. the clinical effect of the treatment group was better than the control group. Conclusion Fumigation and Washing with Qingrehuayu Fang of traditional Chinese medicine can improve post- operative symptoms( the pain,effusion,edema and granulation of postoperative anal fistula) and promote wound healing rate of postoperative anal fistula.