1. 上海中医药大学附属曙光医院柏氏肛肠科,上海,200021
2. 上海市普陀区中医医院肛肠科,上海,200062
3. 上海中医药大学附属岳阳中西医结合医院肛肠科,上海,200437
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王昱, 陈倚, 高凌卉, 等. 柏氏虎杖油膏对低位肛瘘术后创面愈合影响的临床研究[J]. 上海中医药杂志, 2016,50(9):63-66.
WANG Yu, CHEN Yi, GAO Ling-hui, et al. Clinical study on effect of Bai’s Huzhang Ointment on postoperative wound healing of low anal fistulectomy[J]. Shanghai Journal of Traditional Chinese Medicine, 2016,50(9):63-66.
目的:观察柏氏虎杖油膏对低位肛瘘术后创面愈合的影响。 方法:将150例低位肛瘘切除术后患者随机分为治疗A组、治疗B组与对照组,每组50例。治疗A组采用柏氏虎杖油膏纱布换药、治疗B组采用红油膏纱布换药,对照组采用凡士林纱布换药。各组均连续换药21天,观察比较术后创面愈合时间、每周创面愈合率、肛门疼痛及渗液症状分级的变化情况。 结果:①治疗A组术后创面愈合时间显著早于治疗B组与对照组(P<0.05),而治疗B组与对照组创面愈合时间差异无统计学意义(P>0.05)。②换药第一周、第二周,治疗A组创面愈合率显著高于治疗B组、对照组(P<0.05);第三周时,治疗A组创面愈合率显著高于对照组(P<0.05),而与治疗B组比较差异无统计学意义(P>0.05)。③与本组术后第2天比较,各组第7天、第14天、第21天时肛门局部疼痛、渗液症状分级的差异均有统计学意义(P<0.05);术后第7天、第14天,治疗A组肛门创面疼痛、渗液分级明显轻于治疗B组、对照组(P<0.05)。 结论:柏氏虎杖油膏术后换药可显著加快低位肛瘘术后创面愈合,改善肛门局部疼痛、渗液症状。
Objective:To observe the effect of Bai’s Huzhang ointment on wound healing after low anal fistuletomy. Methods150 patients with low anal fistulectomy were randomly divided into the treatment group A, treatment group B and control group,50 cases in each group. The treatment group A was treated with Bai’s Huzhang ointment on the gauze.The treatment group B were treated with Hongyou ointment on the gauze. The control group was treated with vaseline on the gauze,with a course of 21 days. The wound healing progress, weekly wound healing rate, postoperative pain and exudate were observed and compared. Results:①The wound healing time in the treatment group A was significantly less than that in the treatment group B and control group (P<0.05). There was no statistically significant difference between the treatment group B and control group (P>0.05). ②In the first two weeks, the wound healing rate in the treatment group A was significantly higher than that in the treatment group B and control group (P<0.05). In the third week,the wound healing rate in the treatment group A was significantly higher than that in the control group(P<0.05), but the difference of wound healing rate between treatment group A and B showed no statistical significance (P>0.05).③Compared within group after operation,the pain and exudate grading on the 7th,14th,21th day were statistically significant compared with those on the 2nd day (P<0.05). The pain and exudate grading in the treatment group A were significantly lighter than those in the treatment group B and control group on the 7th and 14th day after operation (P<0.05). Conclusion:Bai’s Huzhang ointment could obviously accelerate wound healing and improve pain and exudate after low anal fistulectomy.
低位肛瘘术后恢复创面愈合柏氏虎杖油膏
low anal fistulapostoperative recoverywound healingBai’s Huzhang ointment
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