首页|复方黄柏液涂剂与康复新液促进肛周脓肿术后创面恢复的效果对比

复方黄柏液涂剂与康复新液促进肛周脓肿术后创面恢复的效果对比

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目的 探讨复方黄柏液涂剂与康复新液促进肛周脓肿术后创面恢复的效果.方法 200例肛周脓肿患者,随机分为观察组和对照组,每组 100 例.两组均行低位切开高位挂线手术,对照组术后使用康复新液,观察组术后使用复方黄柏液涂剂.比较两组患者临床疗效、各项恢复指标(疼痛缓解时间、水肿减轻时间、腐肉脱落时间、创面愈合时间)、肛周湿疹发生情况以及手术前后肛缘水肿、疼痛评分.结果 观察组治疗总有效率 97.00%高于对照组的 78.00%(P<0.05).观察组患者术后 3、7、14 d的肛缘水肿评分分别为(1.61±0.37)、(1.04±0.29)、(0.62±0.15)分,低于对照组的(2.09±0.40)、(1.76±0.34)、(1.13±0.21)分,视觉模拟评分法(VAS)评分分别为(3.04±1.02)、(2.07±0.78)、(1.56±0.62)分,低于对照组的(4.91±1.15)、(3.46±0.95)、(2.43±0.87)分(P<0.05).观察组疼痛缓解时间(5.72±1.46)d、水肿减轻时间(4.23±1.37)d、腐肉脱落时间(4.42±0.86)d、创面愈合时间(23.45±5.26)d均短于对照组的(7.84±1.65)、(6.47±1.52)、(6.78±1.17)、(31.38±6.04)d(P<0.05).观察组肛周湿疹发生率 2.00%明显低于对照组的 16.00%(P<0.05).结论 复方黄柏液涂剂应用于肛周脓肿术后创面恢复的效果更好,能加快肛缘水肿、疼痛的消退,促进切口愈合,降低肛周湿疹发生率,具有积极的临床意义.
Comparative study of compound Huangbai liquid coating and Kangfuxin liquid in promoting wound recovery of perianal abscess surgery
Objective To explore the effect of compound Huangbai liquid coating and Kangfuxin liquid in promoting wound recovery of perianal abscess surgery.Methods A total of 200 patients with perianal abscess were randomly divided into an observation group and a control group,each with 100 cases.Both groups underwent low-level incision and high-level thread-drawing surgery.Patients in the control group were treated with Kangfuxin liquid after surgery,while those in the observation group were treated with compound Huangbai liquid coating.The clinical efficacy,various recovery indicators(duration of pain relief,edema relief,slough off of carrion and wound healing),and the occurrence of perianal eczema,scores of postoperative perianal edema and pain were compared between the two groups.Results The total effective rate of treatment of the observation group was 97.00%,which was significantly higher than 78.00%of the control group(P<0.05).On days 3,7,and 14 after surgery,the observation group's perianal edema scores were(1.61±0.37),(1.04±0.29)and(0.62±0.15)points,which were lower than(2.09±0.40),(1.76±0.34)and(1.13±0.21)points in the control group;visual analogue scale(VAS)scores were(3.04±1.02),(2.07±0.78)and(1.56±0.62)points,which were lower than(4.91±1.15),(3.46±0.95)and(2.43±0.87)points in the control group(P<0.05).The duration of pain relief,edema relief,slough off of carrion and wound healing in the observation group were(5.72±1.46),(4.23±1.37),(4.42±0.86)and(23.45±5.26)d,which were shorter than(7.84±1.65),(6.47±1.52),(6.78±1.17)and(31.38±6.04)d in the control group(P<0.05).The incidence of perianal eczema in the observation group was 2.00%,which significantly lower than 16.00%in the control group(P<0.05).Conclusion Application of compound Huangbai liquid coating has good effect wound recovery after perianal abscess surgery,which can speed up the resolution of perianal edema and pain,promote incision healing,reduce the incidence of perianal eczema,and has positive clinical significance.

Perianal abscessIncision recoveryCompound Huangbai liquid coatingKangfuxin liquidEffect

肖雄军、赵显平、陈善国

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641500 四川省资阳市乐至县中医医院

肛周脓肿 切口恢复 复方黄柏液涂剂 康复新液 效果

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(3)
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