生肌玉红膏对肛瘘术后创面愈合情况的影响  

The Influence of Shengji Yuhong Ointment on Wound Healing After Anal Fistula Operation

作　　者：叶敏馥 李强[2] 

机构地区：[1]攀枝花市中心医院,四川攀枝花617067 [2]河南省中医院,河南郑州450002

出　　处：《河南中医》2015年第8期1909-1911,共3页Henan Traditional Chinese Medicine

基　　金：河南省科技攻关项目(编号:496060403)

摘　　要：目的:观察生肌玉红膏对肛瘘术后患者创面愈合的影响。方法:将164例患者随机分为治疗组和对照组,每组各82例。手术后治疗组使用生肌玉红膏涂抹于纱布条上外敷,对照组使用凡士林纱条外敷治疗。创面细菌培养阳性者选用恰当的抗生素静脉滴注。观察患者术后2周疼痛情况,比较患者创面面积、创面愈合时间、住院时间和费用等情况。结果:治疗组患者的疼痛情况较轻,主要为Ⅰ度疼痛,与对照组比较,差异具有统计学意义(P<0.05);与对照组比较,术后第3天的创伤面积差异无统计学意义(P>0.05),术后第7天、第14天,治疗组创伤面积明显小于对照组,差异具有统计学意义(P<0.01);治疗组在平均愈合时间、住院时间及费用方面均有较低,差异具有统计学意义(P<0.01)。结论:生肌玉红膏用于治疗肛瘘术后创面愈合有着良好的效果,能够降低疼痛不适,促进患者康复,并减轻住院的经济负担。Objective： To observe the influence of Shengji Yuhong Ointment （SJYHO）on wound healing after anal fistula operation. Methods： One hundred and sixty-four patients were randomly divided into the treatment group and the control group, with 82 cases in each group. The ones in the treatment group were given external application with ribbon gauze full of SJYHO after the op- erafion, while the ones in the control group were given external application with petrolatum gauze. The patients with positive wound germicufture would choose appropriate intravenous drip of antibiotics. Then the pain condition of patients 2 weeks after the operation was observed ; Wound area, wound healing time, length of hospital stay and cost, etc. would be compared. Results ： The pain condition of patients in the treatment group was slight, mainly appearing l-degree pain; And the difference between two groups had statistical significance （ P 〈0.05 ）. The difference in wound area on the 3rd day ＇after the operation between two groups had no statistical significance （ P 〉0.05 ）. The wound area on the 7th day and the 14th of the treatment group after the operation was obviously smaller than those of the control group; And the differences between two groups had statistical significance （P 〈 0. 01 ）. The average healing time, length of hospital stay and cost of the treatment group was lower than those of the control group; And the differences between two groups had statistical significance （P 〈 0.01 ）. Conclusion： SJYHO has geod clinical curative effect on wound healing of patients after anal fistula operation, can reduce pain and discomfort, promote patients＇ recovery and reduce the economic burden of-hospitalization.

关 键 词：肛瘘 创面愈合 生肌玉红膏 

分 类 号：I66[文学—其他各国文学]