首页|白竭散联合红光治疗促进慢性肛裂术后创面愈合的临床观察

白竭散联合红光治疗促进慢性肛裂术后创面愈合的临床观察

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目的:观察白竭散联合红光治疗对慢性肛裂术后创面愈合的影响.方法:选取于我院接受常规肛裂切除术治疗的30例慢性肛裂患者,随机分为对照组和观察组,对照组术后常规换药、普通光照治疗,观察组术后白竭散换药、红光照射治疗,观察并记录2组患者术后第3、7、14天创面愈合率、创面疼痛评分,术后创面水肿及分泌物情况,术后炎症因子白细胞介素-6(IL-6)和肿瘤坏死因子-α(TNF-α)水平,以及创面愈合时间.结果:2组术后第3天创面愈合率及创面疼痛评分比较差异均无统计学意义,P>0.05;观察组术后第7天和第14天创面愈合率高于对照组(P<0.01),创面疼痛评分低于对照组(P<0.05).观察组术后第7天创面水肿程度、创面分泌物方面评分均低于对照组,P<0.05.观察组术后第7天IL-6和TNF-α水平均低于对照组,P<0.01.观察组创面愈合时间短于对照组,P<0.01.结论:白竭散联合红光治疗能减轻肛裂患者术后疼痛,促进水肿吸收,减少分泌物分泌,减轻炎症反应,从而促进创面愈合.
Clinical Efficacy of Baijie Powder Combined with Red Light Therapy in Promoting Postoperative Wound Heal-ing of Chronic Anal Fissures
Objective To observe the effect of Baijie Powder combined with red light therapy on the postoperative wound healing of chronic anal fissure.Methods Total 30 patients with chronic anal fissure who underwent conventional anal fissure excision at our hospital were randomly divided into the control group and the observation group.The control group received routine wound dressing and ordinary light therapy after operation,while the observation group received Baijie Powder dressing and red light therapy.The wound healing rate,wound pain score,postoperative wound edema and exudate,postoperative inflam-matory factors(IL-6 and TNF-α),and wound healing time were observed and recorded.Results There was no significant difference in the wound healing rate and wound pain score between the two groups on the 3rd postoperative day,P>0.05.The wound healing rate of the observation group was higher than that of the control group,P<0.01;and the wound pain score of the observation group was lower than that of the control group on the 7th and 14th day after operation,P<0.05.The degree of postoperative wound edema degree and the wound exudate score of the observation group were lower than those of the control group on the 7th postoperative day,P<0.05.The levels of IL-6 and TNF-α in the observation group were lower than those of the control group on the 7th postoperative day,P<0.01.The wound healing time of observation group was shorter than that of the control group,P<0.01.Conclusion The combination of Baijie Powder and red light therapy can alleviate pain,promote edema absorption,reduce secretion,and alle-viate inflammatory reactions,thereby promoting wound healing in patients with chronic anal fissures after operation.

Baijie PowderChronic anal fissurePostoperationRed light irradiationWound healing

鲍凤玲、王建民、李明、梅先水

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安徽中医药大学第一附属医院(安徽 合肥 230000)

白竭散 慢性肛裂 术后 红光照射 创面愈合

全国名老中医药专家传承工作室建设项目安徽省省级中医优势特色专科建设项目(十四五)安徽省青年领军后备人才项目

czbkjf20170053zyyfw202100872020qnqhxz20220011

2024

中国肛肠病杂志
中华中医药学会肛肠分会 山东中医药学会

中国肛肠病杂志

影响因子:0.131
ISSN:1000-1174
年,卷(期):2024.44(5)
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