仙方活命饮加减联合肛周熏洗仪在肛痈术后治疗中的疗效观察  

Clinical observation of modified Xianfang Huoming decoction combined with perianal-fumigation-apparatus for postoperative treatment of perianal carbuncle

作　　者：于婧辉[1] 黄婷 杨风利[1] Yu Jinghui;Huang Ting;Yang Fengli(Department of Traditional Chinese Medicine,People's Hospital of Ningxia Hui Autonomous Region,Yinchuan 750002,Ningxia,China)

机构地区：[1]宁夏回族自治区人民医院中医科,银川750002

出　　处：《中国中西医结合急救杂志》2022年第4期487-490,共4页Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care

摘　　要：目的观察仙方活命饮加减联合肛周熏洗仪熏洗坐浴对肛痈术后创面的治疗效果。方法选择宁夏回族自治区人民医院2021年7月至2022年7月收治的128例肛痈术后患者,按术后创面洗浴治疗方法不同分为对照组及观察组,每组64例。观察组借助肛周熏洗仪给予仙方活命饮加减进行自动熏洗坐浴治疗;对照组用高锰酸钾溶液进行传统坐浴治疗。对比两组患者的创面炎性改变情况、愈合时间、疼痛程度以及治疗的有效率。结果两组治疗后创面水肿、渗液和分泌物、疼痛程度及肉芽组织生长等各项观察指标积分均较治疗前明显下降,观察组下降程度大于对照组,且观察组治疗后上述各指标均较对照组降低〔创面水肿积分(分):0.64±0.57比0.94±0.66,渗液和分泌物积分(分):0.61±0.55比0.86±0.61,肉芽组织生长积分(分):0.64±0.55比1.02±0.70,均P<0.05〕。观察组创面愈合时间较对照组明显缩短(d:26.98±5.10比32.42±6.03,P<0.01);观察组治疗总有效率明显高于对照组〔96.88%(62/64)比89.06%(57/64),P<0.05〕。结论仙方活命饮加减联合肛周熏洗仪对肛周创面进行熏洗坐浴治疗,可改善患者临床症状,降低术后疼痛,促进创面愈合,效果肯定,值得进一步研究。Objective To observe the therapeutic effect of modified Xianfang Huoming decoction combined with perianal-fumigation-apparatus to carry out fumigation and sitz bath for treatment of patients with postoperative wound of perianal carbuncle.Methods One hundred and twenty eight patients with perianal carbuncle treated in People's Hospital of Ningxia Hui Autonomous Region from July 2021 to July 2022 were selected and divided into a control group and an observation group according to the different treatment methods of postoperative wound bathing,with 64 cases in each group.The observation group was treated by using modified Xianfang Huoming decoction to carry out automatic fumigation and sitz bath by perianal-fumigation-apparatus,while the control group was treated by traditional sitz bath with potassium permanganate solution.The wound inflammatory changes,healing time,pain degree and the effective rate of treatment were compared between the two groups.Results After treatment,the scores of wound edema,exudate and secretion,pain degree and granulation tissue growth in the two groups were significantly lower than those before treatment,and the lowering degrees in the observation group were greater than those in the control group,and all the above indexes in the observation group were lower than those in the control group after treatment[wound edema score(score):0.64±0.57 vs.0.94±0.66,exudate and secretion score(score):0.61±0.55 vs.0.86±0.61,granulation tissue growth score(score):0.64±0.55 vs.1.02±0.70,all P<0.05].The wound healing time of the observation group was significantly shorter than that of the control group(days:26.98±5.10 vs.32.42±6.03,P<0.01);the total effective rate of the observation group was significantly higher than that of the control group[96.88%(62/64)vs.89.06%(57/64),P<0.05].Conclusions The application of Xianfang Huoming decoction combined with perianal-fumigation-apparatus to carry out fumigation and sitz bath for treatment of patients with postoperative perianal carbuncle wound can improve

关 键 词：仙方活命饮 肛周熏洗仪 肛痈 肛周脓肿 熏洗疗法 

分 类 号：R285[医药卫生—中药学]