自拟化管生肌膏治疗低位单纯性肛瘘术后创面的效果

目的观察自拟化管生肌膏治疗低位单纯性肛瘘术后创面的效果。方法将50例低位单纯性肛瘘患者按随机原则分为治疗组和对照组,各25例。治疗组术后用自拟化管生肌膏换药,对照组术后用生肌玉红膏换药。比较两组的治疗效果。结果治疗组的创面愈合时间、渗液时间显著短于对照组(P<0.05)。术后7、14、21 d,治疗组的创面愈合率显著高于对照组(P<0.05)。术后14、21 d,治疗组的创面分泌物评分均显著低于对照组(P<0.05)。术后21 d,治疗组的创面分泌物pH高于对照组,肉芽评分、VAS评分低于对照组(P<0.05)。结论自拟化管生肌膏治疗低位单纯性肛瘘术后创面有加速愈合、缩短住院时间、减轻患者局部疼痛等优势。

Effect of self-made Huaguan Shengji ointment on postoperative wound of low simple anal fistula

Objective To observe the effect of self-made Huaguan Shengji ointment on postoperative wound of low simple anal fistula.Methods A total of 50 patients with low simple anal fistula were divided into treatment group and control group according to random principle,with 25 cases in each group.The treatment group was treated with self-made Huaguan Shengji ointment,and the control group was treated with Shengji Yuhong ointment.The therapeutic effects of the two groups were compared.Results The wound healing time and liquid exudation time of the treatment group were significantly shorter than those of the control group(P<0.05).At 7,14,and 21 d after operation,the wound healing rate of the treatment group were significantly higher than those of the control group(P<0.05).At 14 and 21 d after operation,the wound secretion scores of the treatment group were significantly lower than those of the control group(P<0.05).At 21 d after operation,the pH of wound secretion in the treatment group was higher than that in the control group,and the granulation score and VAS score were lower than those in the control group(P<0.05).Conclusion Self-made Huaguan Shengji ointment has the advantages of accelerating wound healing,shortening hospital stay and relieving local pain of patients in the treatment of low simple anal fistula.