中药熏洗联合金黄膏外敷对肛周脓肿患者术后疼痛及创面愈合情况的影响  

Effects of fumigation with traditional Chinese medicine combined with external application of golden yellow paste on postoperative pain and wound healing in patients with perianal abscess

作　　者：卢宜芳 易红梅 曾雅玲 Lu Yifang;Yi Hongmei;Zeng Yaling(Outpatient Department,Yichun Hospital of Traditional Chinese Medicine,Yichun 336000,China;Department of Stomatology,Yichun Hospital of Traditional Chinese Medicine,Yichun 336000,China;Department of Colorectal Medicine,Yichun Hospital of Traditional Chinese Medicine,Yichun 336000,China)

机构地区：[1]宜春市中医院门诊部,宜春336000 [2]宜春市中医院口腔科,宜春336000 [3]宜春市中医院肛肠科,宜春336000

出　　处：《国际医药卫生导报》2025年第7期1123-1126,共4页International Medicine and Health Guidance News

基　　金：江西省中医药管理局科技计划(2020A0093)。

摘　　要：目的 探讨中药熏洗联合金黄膏外敷对肛周脓肿患者术后疼痛及创面愈合情况的影响。方法 前瞻性选取宜春市中医院2023年1月至2024年1月行手术治疗的肛周脓肿患者92例,以抽签法分为对照组(46例)与干预组(46例)。对照组男26例,女20例;年龄(35.62±5.69)岁;干预组男28例,女18例;年龄(35.79±5.84)岁。对照组予常规干预,干预组在此基础上予中药熏洗(早晚各1次)联合金黄膏外敷(1次/d)干预,两组干预周期均为14 d。对比两组术后疼痛程度、创面愈合情况。采用独立样本t检验、配对t检验、χ^(2)检验进行统计学分析。结果 术后7 d、14 d,干预组视觉模拟评分法(VAS)评分[(3.21±0.85)分、(2.03±0.42)分]低于对照组[(4.32±0.94)分、(3.41±0.52)分](t=5.940、14.002,均P<0.05);干预组创面水肿[(5.69±1.23)d]、渗液[(7.41±1.53)d]、腐肉脱落[(4.05±1.01)d]、愈合时间[(15.63±4.52)d]均短于对照组[(7.85±1.65)d、(9.66±1.86)d、(5.66±1.12)d、(22.63±5.69)d](t=7.119、6.336、7.240、6.533,均P<0.05)。结论 中药熏洗联合金黄膏外敷干预肛周脓肿患者可减轻术后疼痛,缩短创面愈合时间。Objective To investigate the effects of fumigation with traditional Chinese medicine combined with external application of golden yellow paste on postoperative pain and wound healing in patients with perianal abscess.Methods A total of 92 patients with perianal abscess who underwent surgical treatment in Yichun Hospital of Traditional Chinese Medicine from January 2023 to January 2024 were prospectively selected and were divided into a control group(46 cases)and an intervention group(46 cases)by drawing lots.In the control group,there were 26 males and 20 females,aged(35.62±5.69)years.In the intervention group,there were 28 males and 18 females,aged(35.79±5.84)years.The control group received routine intervention,and the intervention group received traditional Chinese medicine fumigation and washing(once in the morning and once in the evening)combined with external application of golden yellow paste(once a day)on the basis.The intervention period of both groups was 14 days.The degree of postoperative pain and wound healing were compared between the two groups.Independent sample t test,paired t test,andχ^(2) test were used for statistical analysis.Results On day 7 and 14 after surgery,the Visual Analogue Scale(VAS)scores in the intervention group[(3.21±0.85)and(2.03±0.42)points]were lower than those in the control group[(4.32±0.94)and(3.41±0.52)points](t=5.940 and 14.002,both P<0.05).The time of wound edema[(5.69±1.23)d],fluid leakage[(7.41±1.53)d],flesh-shedding[(4.05±1.01)d],and healing[(15.63±4.52)d]in the intervention group were shorter than those in the control group[(7.85±1.65)d,(9.66±1.86)d,(5.66±1.12)d,and(22.63±5.69)d](t=7.119,6.336,7.240,and 6.533,all P<0.05).Conclusion The combination of traditional Chinese medicine fumigation and external application of golden yellow paste can alleviate postoperative pain and shorten wound healing time in patients with perianal abscess.

关 键 词：肛周脓肿 中药熏洗 金黄膏外敷 术后疼痛 创面愈合 

分 类 号：R657.1[医药卫生—外科学]