【作者】 白树梓；

【导师】 姜春英；

【作者基本信息】 山东中医药大学 ， 中医外科学， 2010， 硕士

【摘要】 目的：观察四黄汤药液湿敷联合神灯照射促进肛瘘术后创面愈合的临床疗效。方法：将符合纳入标准的肛瘘术后患者60例随机分为两组,治疗组30例,对照组30例。治疗组患者术后使用四黄汤药液湿敷换药,配合TDP神灯照射；对照组使用复方黄柏液湿敷换药,配合TDP神灯照射。分别于手术后第2、6、10、14、18天观察各主要症状、体征,并记录创面愈合时间,评价治疗效果。结果：治疗组痊愈29例,显效0例,有效1例,无效0例,总有效率100%；对照组治愈28例,显效1例,有效1例,无效0例,总有效率100%,两组有效率无统计学差异(p>0.05)。两组创面愈合率比较有统计学差异(p<0.05),治疗组效果优于对照组。两组术后疼痛、肉芽形态、分泌物情况积分比较有统计学差异(p<0.05),治疗组优于对照组。两组术后肛门坠胀积分比较,无统计学差异(p>0.05)。结论：两组患者治愈率无差别,但治疗组在缩短创面愈合时间、促进肉芽生长、对疼痛及分泌物控制方面优于对照组,对术后肛门坠胀的治疗与对照组无差异。提示四黄汤可以缩短治疗时间,促进创面愈合,减少术后并发症。更多还原

【Abstract】 Objective:To observe the Sihuangtang solution for anal fistula wound healing clinical effect.Methods:The observation met the inclusion criteria 60 patients with anal fistula surgery were randomly divided into two groups, treatment group 30 cas es,30 cases of the control group. Treatment group after the use of Sihuangtang sol ution of wet packing medication, with the TDP irradiation; the control group using the Fufanghuangbaiye medication, with the TDP irradiation. Respectively, the first 2, 6,10,14,18 days after the operation to observe the main symptoms and signs, and in wound healing after the record of treatment time to evaluate therapeutic effect.Res ults:The treatment group and control group, no significant difference in cure rate (p>0.05). Two groups of wound healing rate in comparison with statistical significa nce (p<0.05), treatment group was more effective than the control group. Two grou ps of post-operative pain conditions, granular morphology, secretions of points have more statistical significance (p<0.05). Two groups of postoperative anal bulge poi nts no difference, no statistical significance (p>0.05).Conclusion:The cure rate in p atients with non-discrimination groups, but the treatment group can reduce wound h ealing time, can promote growth of granulation, to control pain and discharge than the control group, but the control of postoperative anal bulge with the control grou p no significant difference. Tip Sihuangtang in the case does not affect the cure r ate can be reduced treatment time, promote healing and reduce postoperative compli cations.更多还原