Effect of clearing away heat and promoting blood circulation therapy on wound healing of perianal abscess
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摘要: 目的 探讨清热活血法对肛周脓肿术后创面愈合的影响。 方法 选取2014年6月-2015年3月浙江省中医院收治的40例肛周脓肿患者作为研究对象,全部患者择期进行肛周脓肿术。采用随机卡将全部患者分为实验组(20例)与对照组(20例)。术后,对照组常规静脉滴注抗生素,并每日换药。实验组在对照组基础上,口服仙方活命饮合黄连解毒汤,包括金银花12 g,白芷6 g,防风6 g,赤芍9 g,当归9 g,贝母6 g,黄芩15 g,黄连6 g,陈皮9 g,天花粉10 g,皂角刺6 g,穿山甲6 g,没药6 g,乳香6 g,栀子9 g,黄柏10 g,甘草6 g。对比2组疗效及创面愈合状态。根据2组治疗前后创面愈合状态,对比2组创面愈合率。记录2组的腐肉脱落、上皮出现及愈合的时间。根据2组患者的创面进行分泌物评分、肉芽形态评分、疼痛评分、红肿评分。对2组相应指标进行统计学分析。 结果 实验组创面愈合率显著高于对照组,腐肉脱落时间、上皮出现时间、愈合时间显著低于对照组,差异有统计学意义(t=2.743、4.483、2.361、3.237,P<0.05);实验组的疗效显著优于对照组,差异有统计学意义(Z=2.759,P<0.05);实验组分泌物评分、肉芽形态评分、疼痛评分、红肿评分显著低于对照组,差异有统计学意义(t=2.682、2.686、3.255、2.741,P<0.05)。 结论 清热活血法能显著改善患者肛周脓肿术后的临床症状,加快创面愈合。Abstract: Objective To investigate the effect of clearing away heat and promoting blood circulation therapy on wound healing of perianal abscess after operation. Methods A total of 40 cases of patients with perianal abscess in our hospital from June,2014 to March,2015 were selected as the research objects.All patients underwent elective surgery for anal abscess.All patients were randomly divided into experimental group (20 cases) and control group (20 cases).After the operation,the control group was injected with conventional intravenous antibiotics,and daily dressing change,on the basis of which the experimental group was treated with oral Xianfanghuomingyin with Huanglian Jiedu decoction.The prescription containing 12 grams honeysuckle,6 grams angelica,6 grams saposhnikovia divaricata,9 grams red peony root,9 grams Chinese angelica,6 grams Fritillaria,15 grams Scutellaria,6 grams Coptis,9 grams dried tangerine peel,10 grams Radix,6 grams Gleditsia sinensis,6 grams pangolin,6 grams myrrh,6 grams frankincense,9 grams gardenia,10 grams phellodendron bark,6 grams licorice.The curative effects and the wound healing were compared between the two groups.Based on observation of wound healing of patients,we compared wound healing rates of the two groups.Carrion shedding time,emergence time,healing time of epithelium of both groups was recorded.According to surface of the wound of the patients,we gave secretion score,granulation shape score,pain score and swelling score.Corresponding indicators of two groups were statistically analyzed. Results The healing rate of experimental group was significantly higher than that of the control group,while the carrion shedding time,emergence time and epithelial healing time were significantly lower than those in the control group with statistical significance (t=2.743,4.483,2.361,3.237,P<0.05).The curative effect of the experimental group was significantly better than that of the control group and the difference had statistical significance (Z=2.759,P<0.05).In the experimental group,the discharge score,granulation score,pain score,and swelling score were significantly lower than those in the control group.The differences were statistically significant (t=2.682,2.686,3.255,2.741,P<0.05). Conclusion The clearing away heat and promoting blood circulation therapy can significantly improve the clinical symptoms of patients with perianal abscess,and accelerate the healing of the wound.
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