Therapeutic efficacy of thread-drawing therapy combined with Jinhuang ointment on low generalized perianal abscesses
Objective It is to observe the clinical efficacy of thread-drawing therapy combined with Jinhuang ointment in the treatment of low generalized perianal abscess.Methods Eighty-six patients with low generalized perianal abscess treated in the Anorectum Department of Longhua Hospital Affiliated to Shanghai University of Chinese Medicine from De-cember 2022 to October 2023 were randomly divided into treatment group and control group,with 43 patients in each group.The treatment group was treated with thread-drawing therapy combined with Jinhuang ointment,and the control group was treated with thread-drawing therapy alone.The clinical efficacy,wound healing time,residual swelling disappea-ring time,score of wound granulation morphology,score of wound exudate,pain VAS score,Wexner fecal incontinence score and adverse reactions of the patients in the two groups were compared at 1 month after surgery.Results There was no statistically significant difference in the clinical efficacy between the two groups(P>0.05);the wound healing time and residual swelling disappearing time of the treatment group were significantly shorter than those of the control group(both P<0.05);the percentage of patients with scores of 1 and 2 for granulation morphology and wound exudate of the treatment group were significantly higher than those of the control group on the 7th and 10th postoperative days(P<0.05);the VAS scores of wound pain on the 7th,10th,and 14th postoperative days of the treatment group were significantly lower than those of the control group during the same period(all P<0.05);there were no significant differences in the fistula rate and recurrent fistula rate between the two groups in 3 moths after recovery(both P>0.05);there was no significant differ-ence in the Wexner fecal incontinence score before and after the treatment between the two groups(P>0.05).Conclusion Thread-drawing therapy combined with Jinhuang ointment has the advantages of promoting wound healing,accelerating the regression of residual swelling,and protecting anal function in the treatment of generalized perianal abscess.
generalized perianal abscessthread-drawing therapyJinhuang ointmentGu's surgery
万方数据
维普
