当白生肌膏促进复杂性高位肛瘘术后创面愈合临床研究  

Clinical Observation of Dangbai Shengji Plaster for Promoting the Wound Healing in Postoperative High Complex Anal Fistula Surgery

作　　者：刘宇[1] 杜雪峰[1] 葛小栋[1] 陈伟丽[1] 潘付静 邵军[1] 荀绍山 张靖 

机构地区：[1]唐山市中医院,河北唐山063000

出　　处：《四川中医》2018年第2期119-122,共4页Journal of Sichuan of Traditional Chinese Medicine

基　　金：河北省中医药管理局科研项目(编号:2015233)

摘　　要：目的:观察当白生肌膏在难愈性复杂性高位肛瘘术后创面(辨证为湿热下注证)换药中的临床疗效。方法:将60例患者按随机数字表法分为治疗组(当白生肌膏组)和对照组(如意黄金散组),各30例,分别进行术后创面的换药。以术后创面愈合时间、创面肉芽生长情况、挂线脱落时间等方面为观察指标,比较两组伤口愈合情况的临床疗效。结果:治疗组平均创面愈合时间为(25.02±3.67)天,对照组平均为(29.21±5.25)天;两组患者肉芽生长情况均良好,治疗组较对照组肉芽生长更为旺盛鲜活,愈合更早;治疗组平均挂线脱落时间为(6.12±1.88)天,对照组(9.06±2.01)天;第25日治疗组有效率为100%,对照组90%,治疗组对于促进复杂性高位肛瘘术后创面愈合情况明显好于对照组。两组比较差异有统计学意义(P<0.05)。结论:在复杂性高位肛瘘术后使用当白生肌膏能够促进创面肉芽组织生长,加快挂线脱落,加速创面上皮化,缩短创面彻底愈合时间且疗效较好,值得推介。Objective： To evaluate the curative effect of Dangbai Shengji Plaster gauze for promoting post-operational healing in patients with high complex anal fistula of dampness-heat diffusing downward symdrome. Methods： 60 patients with the high complex anal fistula were randomly divided into two groups. After the surgery,in the controlled group,whose wound was applied Ruyi Gold Powder gauze and the wound was applied Dangbai Shengji Plaster gauze in the study group. The time of wound healing was observed as well as the side effects. Post-operative complications also was been analyzed. Observing the secretion of the ulcer size and growth. Results： The average wound healing time of the treatment group was（25. 02±3. 67） days,the controlled group was（29. 21±5. 25） days; the growth of the two groups of patients with granulation were good,the treatment group was more exuberant granulation fresh,early wound healing than the controlled group; The average thread off time of the treatment group was（6. 12±1. 88） days,was more shorter than the controlled group was（9. 06± 2. 01） days; Twenty-fifth days of the treatment group was 100%,90% in the controlled group,the treatment group for promoting wound healing of complex high anal fistula after operation was significantly better than the controlled group. There was significant difference between the two groups（P〈0. 05）. Conclusion： In the complex high anal fistula after operation when using Dangbai Shengji Plaster can promote the growth of granulation tissue,accelerate thread shedding,promote wound epithelialization,accelerate wound healing quickly and thoroughly and the effect is significant,worthy of promotion in clinical practice.

关 键 词：复杂性高位肛瘘 当白生肌膏 湿热下注证 

分 类 号：R657.16[医药卫生—外科学]