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中药熏洗在肛周坏死性筋膜炎术后康复中的应用效果OA

Application Effect of Chinese Herbal Fumigation and Washing in Postoperative Rehabilitation of Perianal Necrotizing Fasciitis

中文摘要英文摘要

目的:探讨中药熏洗在肛周坏死性筋膜炎术后康复中的应用效果.方法:回顾性分析厦门医学院附属第二医院 2023 年 4 月—2025 年 4 月收治的 60 例肛周坏死性筋膜炎手术患者的临床资料,根据既往治疗方案不同分为对照组(术后给予常规治疗)和观察组(术后在常规治疗基础上给予中药熏洗治疗),每组 30 例,分别于术后第 1、7、14、21 天比较两组的疼痛程度与创面渗液情况;并于术后第 1 天和第 21 天检测两组的炎症水平.同时,记录并比较两组的创面修复关键时间.结果:观察组在术后第 7、14 和 21 天的 VAS 评分与创面渗液评分低于对照组,在术后第 21 天的 CRP、WBC 水平低于对照组,且术后腐肉脱落时间、创面愈合时间均早于对照组(P<0.05).结论:中药熏洗能够减轻肛周坏死性筋膜炎患者术后疼痛程度,改善创面渗液情况,控制炎症反应,促进术后创面修复.

Objective:To investigate the application effect of Chinese herbal fumigation and washing in the postoperative rehabilitation of perianal necrotizing fasciitis.Method:A retrospective analysis was conducted on the clinical data of 60 patients with perianal necrotizing fasciitis who underwent surgery at the Second Affiliated Hospital of Xiamen Medical College from April 2023 to April 2025.The patients were divided into a control group(receiving routine treatment after surgery)and an observation group(receiving Chinese herbal fumigation and washing in addition to routine treatment after surgery)based on their previous treatment plans.Each group consisted of 30 patients,and the pain levels and wound exudate were compared between the two groups on the 1st,7th,14th,and 21st days after surgery;and the inflammation levels of both groups were measured on the 1st and 21st day after surgery.Meanwhile,the critical time for wound repair between the two groups were recorded and compared.Result:The VAS and wound exudate scores of the observation group were lower than those of the control group on the 7th,14th,and 21st days after surgery,the levels of CRP and WBC were lower than those of the control group on the 21st day after surgery,and the time for necrotic tissue shedding and wound healing were earlier than those of the control group(P<0.05).Conclusion:Chinese herbal fumigation and washing can alleviate postoperative pain in patients with perianal necrotizing fasciitis,improve wound exudation,control inflammatory response,and promote postoperative wound repair.

林评跃;王定前;陈志刚

厦门医学院附属第二医院肛肠科 福建 厦门 361021厦门医学院附属第二医院肛肠科 福建 厦门 361021厦门医学院附属第二医院肛肠科 福建 厦门 361021

中药熏洗肛周坏死性筋膜炎疼痛程度创面渗液炎症水平创面修复

Chinese herbal fumigation and washingPerianal necrotizing fasciitisPain intensityWound exudationInflammatory levelWound healing

《中国医学创新》 2026 (12)

32-36,5

10.3969/j.issn.1674-4985.2026.12.008

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