马应龙痔疮膏联合中药熏洗对肛周脓肿术后创面愈合的影响  

Effect of Mayinglong hemorrhoids ointment combined with traditional Chinese medicine fumigation on wound healing after perianal abscess surgery

作　　者：师颢华 严胜利 刁国龙 张爱奇 徐斌 SHI Haohua;YAN Shengli;DIAO Guoong;ZHANG Aiqi;XU Bin(No.2 Traditional Chinese Medicine Department,the First Affiliated Hospital of Shihezi University,Shihezi 832008,China)

机构地区：[1]石河子大学第一附属医院中医二科,新疆石河子832008

出　　处：《临床医学研究与实践》2024年第22期129-133,共5页Clinical Research and Practice

摘　　要：目的探讨马应龙痔疮膏联合中药熏洗对肛周脓肿术后创面愈合的影响。方法选取2019年3月至2023年3月我院收治的82例肛周脓肿术后患者为研究对象,采用随机数字表法将其分为对照组(n=41)和观察组(n=41)。对照组采用常规西药治疗,观察组在对照组基础上采用马应龙痔疮膏联合中药熏洗治疗。比较两组的治疗效果。结果观察组的治疗总有效率高于对照组,差异具有统计学意义(P<0.05)。治疗后,两组的视觉模拟评分法(VAS)、创面水肿、创面渗液评分均低于治疗前,且观察组低于对照组,差异具有统计学意义(P<0.05);观察组的创面愈合时间短于对照组,差异具有统计学意义(P<0.05)。治疗后,两组的去甲肾上腺素(NE)、β-内啡肽(β-EP)水平均低于治疗前,且观察组低于对照组,差异具有统计学意义(P<0.05)。治疗后,两组的C-反应蛋白(CRP)、白细胞介素-6(IL-6)水平均低于治疗前,且观察组低于对照组,差异具有统计学意义(P<0.05)。观察组的不良反应总发生率低于对照组,差异具有统计学意义(P<0.05)。结论马应龙痔疮膏联合中药熏洗用于肛周脓肿术后患者的效果较好,可改善临床症状,促进创面愈合,减轻炎症及疼痛应激反应,降低不良反应发生风险。Objective To explore the effect of Mayinglong hemorrhoids ointment combined with traditional Chinese medicine fumigation on wound healing after perianal abscess surgery.Methods A total of 82 patients with perianal abscess who were admitted in our hospital from March 2019 to March 2023 were selected as the research objects.The patients were divided into control group(n=41)and observation group(n=41)by random number table method.The control group was treated with conventional western medicine,and the observation group was treated with Mayinglong hemorrhoids ointment combined with traditional Chinese medicine fumigation on the basis of the control group.The therapeutic effects of the two groups were compared.Results The total effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).After treatment,the scores of Visual Analogue Score(VAS),wound edema and wound exudate in the two groups were lower than those before treatment,and those in the observation group were lower than the control group,the differences were statistically significant(P<0.05);the wound healing time of the observation group was shorter than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the levels of norepinephrine(NE)andβ-endorphin(β-EP)in the two groups were lower than those before treatment,and those in the observation group were lower than the control group,the differences were statistically significant(P<0.05).After treatment,the levels of C-reactive protein(CRP)and interleukin-6(IL-6)in the two groups were lower than those before treatment,and those in the observation group were lower than the control group,the differences were statistically significant(P<0.05).The total incidence of adverse reactions in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Mayinglong hemorrhoids ointment combined with traditional Chines

关 键 词：马应龙痔疮膏 中药熏洗 肛周脓肿 创面愈合 

分 类 号：R266[医药卫生—中医外科学]