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苦黄洗剂熏洗在肛瘘术后患者中的应用研究OA

Clinical value of Kuhuang lotion fumigation and washing in patients after anal fistula resection

中文摘要英文摘要

目的 观察苦黄洗剂熏洗在肛瘘术后患者中的应用效果.方法 选取 120 例肛瘘术后患者纳入本研究,以随机颜色球抽取法分为 2 组,每组 60 例,对照组予高锰酸钾溶液坐浴治疗,治疗组予苦黄洗剂熏洗治疗.对比 2 组临床疗效、疼痛视觉模拟评分(VAS)、创面愈合率、术后恢复时间及并发症发生率.结果 治疗组总有效率 91.37%(55/60),对照组总有效率 71.67%(43/60),治疗组疗效优于对照组(P<0.05).与术后 1d 比较,2 组术后 5、14 d 疼痛VAS 评分均逐渐降低(P<0.05),且治疗组术后 5、14 d 疼痛 VAS 评分均低于对照组同期(P<0.05).与术后 5d 比较,2组术后 14 d 创面愈合率均升高(P<0.05),且治疗组术后 14 d 创面愈合率高于对照组(P<0.05).治疗组疼痛消失时间、创口完全愈合时间、住院时间均短于对照组(P<0.05).治疗组并发症发生率低于对照组(P<0.05).结论 肛瘘术后患者应用苦黄洗剂熏洗效果显著,可改善疼痛症状,提高创面愈合率,缩短术后恢复时间,并降低并发症发生率.

Objective To observe the clinical value of Kuhuang lotion fumigation and washing in patients after anal fistula resection.Methods A total of 120 postoperative patients with anal fistula were included in this study and divided into two groups by random colored-ball drawing,with 60 cases in each group.The control group received potassium permanganate solution sitz baths,while the treatment group received Kuhuang lotion fumigation and washing.Clinical efficacy,pain visual analogue scale(VAS)scores,wound healing rate,postoperative recovery time,and complication rate were compared between the two groups.Results The total effective rate was 91.37%(55/60)in the treatment group and 71.67%(43/60)in the control group,indicating superior efficacy in the treatment group(P<0.05).Compared with postoperative day 1,VAS pain scores on postoperative days 5 and 14 decreased gradually in both groups(P<0.05),and were lower in the treatment group than in the control group at the same time points(P<0.05).Compared with postoperative day 5,wound healing rates on postoperative day 14 increased in both groups(P<0.05),and were higher in the treatment group than in the control group(P<0.05).The treatment group had shorter times to pain resolution,complete wound healing,and hospital stay than the control group(P<0.05).The incidence of complications was lower in the treatment group than in the control group(P<0.05).Conclusion Kuhuang lotion fumigation and washing is effective in patients after anal fistula resection.It can relieve pain,improve wound healing,shorten postoperative recovery time,and reduce the incidence of complications.

刘梦珂;李静;王静静;聂枫

安徽省亳州市中医院肛肠科,安徽 亳州 236800安徽省亳州市中医院肛肠科,安徽 亳州 236800安徽省亳州市中医院肛肠科,安徽 亳州 236800安徽省亳州市中医院肛肠科,安徽 亳州 236800

医药卫生

肛瘘肛瘘切除术疼痛中药熏洗

Anal fistulaAnal fistula resectionPainTraditional Chinese medicine fumigation

《河北中医》 2026 (8)

1272-1275,4

安徽省卫生健康科研项目(编号:AHWJ2022a036)

10.3969/j.issn.1002-2619.2026.08.008

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