祛腐生肌汤对肛瘘术后创面愈合和肛肠动力学的影响  

The Influence of Decoction for Removing Necrotic Tissue and Promoting the Growth of New Tissues on Wound Healing and Anorectal Dynamics

作　　者：谢飞 

机构地区：[1]恩施州民族医院,湖北恩施445000

出　　处：《河南中医》2015年第8期1912-1914,共3页Henan Traditional Chinese Medicine

摘　　要：目的:观察祛腐生肌汤对肛瘘术后创面愈合及肛肠动力学的影响。方法:选取2013年4月—2014年6月本院肛肠科收治肛瘘患者286例为研究对象,随机分为治疗组152例和对照组134例。治疗组应用祛腐生肌汤换药,即在初期应用15%生肌红粉膏油纱条换药,当腐肉脱落,创面红活后,改用生肌玉红膏油纱条换药;对照组应用凡士林纱条外敷治疗,比较两组患者创面愈合及肛肠动力学变化情况。结果:治疗组有效率为100.0%,对照组有效率为92.5%,两组有效率比较无明显差异(P>0.05);治疗组患者在创面腐肉脱落时间、创面面积减少率、创面愈合时间方面均显著低于对照组,差异具有统计学意义(t=7.115,9.045,9.468,P<0.05);两组患者AMCP、ALCT较治疗前均无明显变化(P>0.05),患者可有效控制自主排便;RRP、ARP较治疗前明显降低,差异具有统计学意义(P<0.05),ARP下降压力明显大于RRP,不会出现肛门失禁现象;组间比较,ALCT、AMCP、RRP、ARP均无明显差异(P>0.05)。结论:肛瘘术后患者行中医祛腐生肌法,有利于创面愈合,改善肛肠动力学,疗效显著。Objective： To observe the influence of Decoction for Removing Necrotic Tissue anti Promoting the Growth of New Tissues （DRNTPGNT） on wound healing and anorectal ctynamics. Methods： Two hundred and eighty-six patients with anal fistula who were treated in our hospital from April 2013 to June 2014 were randomly divided into the treatment group and the control group, with 152 t;ases and 134 respectively. The ones in the treatment group were given DRNTPGNT for dressing change： During initial stage, 15% Sheng, ii Hongfen Soft Extract （SJHFSE） ribbon gauze was used for dressing change; When slough fell off, the wound became thriving, Shengji Yuhong Soft Extract （SJYHSE） ribbon gauze was changed for dressing change ; While petrotatum gauze was used for external application in the control group; Then wound healing and anorectal dynamics changes in both groups were compared. Results： The effective rate of the treatment group was 100%, while that of the control group was 92.5% ; And there was no obvious difference between them（ P 〉0.05 ）. The wound slough falling off time, the wound area decreasing rate and the wound healing time of the treatment group were all obviously shorter than those of the control group; And the differences between two groups had statistical significance（ t = 7.115,9. 045,9. 468 ,P 〈 0.05 ）. Compared with before the treatment, AMCP and ALCT in both groups after the treatment had no obvious changes （ P 〉 0.05 ） ; The patients couht effectively control automatic defecation. RRP and ARP were obviously reduced after the treatment; And the differences before and after the treatment had sta- tistical significance （P 〈 0.05 ） ; ARP decreasing pressure was obviously bigger than that of the RRP; The patients had no anal incontinence. There were no obvious differences in ALCT, AMCP, RRP and ARP between two groups（ P 〉 0.05 ）. Conclusion： After anal fistulectomy, DRNTPGNT can help the patients heal the wound, improve anorectal dynamics, and has remarkable cli

关 键 词：肛瘘术后 祛腐生肌汤 创面愈合 肛肠动力学 

分 类 号：R269.571.6[医药卫生—中西医结合]