仙方活命饮加减坐浴对热毒炽盛型肛周脓肿术后患者创面的影响  

Effect of Sitz Bath with Modified Xianfang Huoming Decoction(仙方活命饮)on Postoperative Wound in Patients with Perianal Abscess of Toxic Heat Flourishing Type

作　　者：陈红霞[1] 陈朝晖[1] 张瑞芳[1] 李一雄 范永强[1] CHEN Hongxia;CHEN Zhaohui;ZHANG Ruifang;LI Yixiong;FAN Yongqiang(Department of Integrated Traditional Chinese and Western Medicine,The First Affiliated Hospital of Chengdu Medical College,Chengdu 610599,China)

机构地区：[1]成都医学院第一附属医院中西医结合科,四川成都610599

出　　处：《山东中医杂志》2023年第10期1080-1085,共6页Shandong Journal of Traditional Chinese Medicine

基　　金：四川省中医药管理局科研项目(编号:2020LC0074)。

摘　　要：目的:探究仙方活命饮加减坐浴联合红油膏纱条对热毒炽盛型肛周脓肿术后创面愈合情况的影响。方法:选取热毒炽盛型肛周脓肿患者行手术治疗者120例,采用简单随机法分为观察组和对照组各60例。两组术后均给予红油膏纱条换药,对照组采用高锰酸钾溶液坐浴,观察组采用仙方活命饮加减坐浴。共治疗14 d。评估两组临床疗效,比较两组治疗前及治疗14 d后中医证候积分、视觉模拟评分法(VAS)评分,比较两组患者术后创面情况(术后3 d和7 d创面分泌物、创面愈合率,创面新生上皮出现时间、创口愈合时间),比较两组患者治疗前及治疗3个月后肛门功能(肛管静息压、肛管收缩压)。结果:治疗14 d后,两组中医证候积分、VAS评分均较治疗前降低(P<0.05),且观察组低于对照组(P<0.05)。术后3 d,两组患者创面情况比较差异无统计学意义(P>0.05)。术后7 d,两组患者创面分泌物明显减少,观察组少于对照组(均P<0.05);两组创面愈合率均上升,观察组高于对照组(均P<0.05)。观察组创面新生上皮出现时间及创口愈合时间少于对照组(P<0.05)。治疗3个月后,两组患者肛管静息压、肛管收缩压较治疗前降低,且观察组低于对照组(均P<0.05)。治疗14 d后,观察组总有效率95.0%,对照组83.3%,观察组疗效优于对照组(P<0.05)。结论:仙方活命饮加减坐浴联合红油膏纱条可明显改善热毒炽盛型肛周脓肿患者术后创面愈合情况,缩短创面愈合时间,且远期疗效显著。Objective:To explore the effect of sitz bath with modified Xianfang Huoming Decoction(仙方活命饮)combined with Hongyou ointment gauze on wound healing after surgery for perianal abscess of toxic heat flourishing type.Methods:A total of 120 patients with perianal abscess of toxic heat flourishing type who underwent perianal abscess surgery were divided into observation group and control group by the simple randomization method,60 patients in each group.Both groups were given Hongyou ointment gauze dressing.Besides,the control group was given sitz bath with potassium permanganate solution,while the observation group was given sitz bath with modified Xianfang Huoming Decoction.Both groups were given postoperative treatment for 14 days.The clinical efficacy in each groups was evaluated,and traditional Chinese medicine(TCM)syndromes score and visual analogue score(VAS)before treatment and after 14 days of treatment,postoperative wound conditions(wound secretion volume,wound healing rate,time of appearance of new epithelium on wound surface,and wound healing time 3 days and 7 days after surgery),and anal function(anal canal resting pressure,anal canal contraction pressure)before treatment and 3 months after treatment were compared between two groups.Results:Fourteen days after treatment,TCM symptom score and VAS score in both groups were reduced compared with those before treatment(P<0.05),and the above scores in the observation group were lower than those in the control group(P<0.05).Three days after surgery,there was no statistically significant difference in the wound surface between two groups(P>0.05).The 7th day after surgery,the wound secretion volume in the two groups was significantly reduced,and it in the observation group were less than that in the control group(all P<0.05);the wound healing rate in the two groups was improved,and it in the observation group were higher than that in the control group(all P<0.05);the time of new epithelium appearance on wound surface and wound healing time in the observat

关 键 词：仙方活命饮 红油膏纱条 熏洗 坐浴 肛周脓肿 创面愈合 热毒炽盛 

分 类 号：R244.9[医药卫生—针灸推拿学] R266[医药卫生—中医临床基础]