仙方活命饮加减方治疗湿热毒蕴型低位肛周脓肿术后创面的临床疗效观察  

Clinical effect of Xianfang Huomingyin decoction on postoperative wound of perianal abscess with damp-heat toxin accumulation syndrome

作　　者：田影[1] 朱朝军[1] 柴仲秋 周冰 TIAN Ying;ZHU Chao-jun;CHAI Zhong-qiu(Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin(300250),China)

机构地区：[1]天津中医药大学第二附属医院,天津300250 [2]天津市滨海新区中医医院,天津300457

出　　处：《中国中西医结合外科杂志》2023年第1期15-18,共4页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

基　　金：天津市中医中西医结合科研课题(2021109);天津市滨海新区卫计委科研项目(2018BWKY027)。

摘　　要：目的:观察仙方活命饮加减方治疗湿热毒蕴型低位肛周脓肿术后创面的临床疗效。方法:选取2019年9月—2021年3月我院收治的低位肛周脓肿术后患者96例,分为对照组和试验组,每组48例。对照组采用常规治疗+温水熏洗、坐浴+外科换药,治疗组采用常规治疗+仙方活命饮加减方内服、熏洗坐浴+外科换药。比较两组患者炎症消退时间及创面愈合时间、创面疼痛、分泌物量及创缘水肿评分。结果:治疗组炎症消退时间为(6.67±1.69)d,创面愈合时间为(22.11±3.87)d;对照组炎症消退时间为(8.75±2.06)d,创面愈合时间为(26.55±3.93)d,两组创面炎症消退时间和愈合时间差异有统计学意义(P<0.01)。仙方活命饮加减方内服联合溻渍外用可减轻创缘水肿、减轻术后创面疼痛、减少创面炎性渗出,两组评分差异有统计学意义(P<0.05)。结论:治疗组经仙方活命饮加减方内服及溻渍外洗后创缘水肿消退快,渗出减少,疼痛减轻,肛门功能恢复快,创面愈合时间短。Objective To explore the effect of Xianfang Huomingyin plus or minus prescriptions for oral administration and topical application of Shire Duyun Type anal carbuncle in wound healing after anal carbuncle.Methods Ninety six cases of postoperative patients with low perianal abscess admitted to our hospital from September 2019 to March 2021 were selected,were randomly divided into control group and experimental group,with 48 cases in each group.The control group received conventional treatment and warm water fumigation,surgical dressing.The treatment group received conventional treatment and Xianfang Huomingyin for oral administration,fumigation and surgical dressing.The wound area was recorded at each visit point,wound exudation,pain,granulation,and time of inflammation subsidence between the two groups were recorded,and the wound healing rate and wound healing time of the two groups were compared.Results The inflammation subsided time in the treatment group was(6.67±1.69)days,and the wound healing time was(22.11±3.87)days;in the control group,the inflammation subsided time was(8.75±2.06)days,and the wound healing time was(26.55±3.93)days.There was statistical significance(P<0.01).Oral administration of Xianfang Huomingying Decoction and external application of fendi can reduce wound margin edema,postoperative wound pain,and wound inflammatory exudation,and the difference in scores between the two groups was statistically significant(P<0.05).Conclusion In the treatment group,the edema at the wound edge subsided quickly,the exudation was reduced,the pain was relieved,the anal function recovered quickly,and the wound healing time was short after the oral administration of Xianfang Huomingyin and external washing.

关 键 词：仙方活命饮 肛周脓肿 疗效观察 

分 类 号：R619.9[医药卫生—外科学]