Application of Jiedu Shengji Decoction and Lithocarpic Oil Yarn in Postoperative Anal Fistula
HOU Yanmei,HE Tao-hong,ZHOU Ce
Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu610000, China
Abstract:
Objective To observe the clinical effect of self-made Jiedu Shengji Decoction and comfrey oil yarn assisted drainage in promoting wound healing after anal fistula multi-incision floating drainage. Methods A total of 112 patients who underwent anal fistula and incision drainage during the period were randomly divided into control group and observation group. The two groups of patients were treated with conventional anti-infective treatment. The control group was treated with warm water fumigation after washing,and the comfrey oil gauze was inserted into the anus. The patients in the observation group were treated with detoxifying and stimulating the skin soup and comfrey oil yarn to assist drainage. Group patients changed their dressing twice a day. The indexes of exudation and wound edema, degree of pain, wound healing rate and healing time of anal fistula wounds in the first, the fourth, the ninth and the 14th day, the first and the second month were observed respectively. Results On the 4th, 9th and 14th day after operation, the wound secretion scores of the observation group were(3.74±0.42), (3.55±0.51) and (3.11±0.37).The control group scores were(3.41±0.62), (3.23±0.54) and (2.74±0.47),which are higher than the observation group (P <0.05). There was no significant difference in wound secretion between the two groups at 1st and 2nd months after operation(P >0.05). The wound edema score of the observation group was (1.26±0.26), which was significantly lower than that of the control group (2.74±0.48). The wound healing rates of the observation group at the 9th, 14th day and the 1st and 2nd month were(15.17±3.48), (31.28±2.74), (65.18±7.15) and(85.21±6.18) respectively. The control groups were(9.31±2.15), (19.37±2.71), (45.27±6.18) and (79.38±5.48). The wound healing rate of the observation group was signi?cantly higher than that of the control group at the 9th, 14th day and the 1st and 2nd month after operation (P<0.05). The wound healing time of the control group was (46.37±5.27), which was signi?cantly higher than that of the observation group (57.24±8.12) (P<0.05). The pain VAS scores of the observation group at the 4th, 9th, 14th day and the 1st month were (7.24±1.02), (5.94±0.84), (3.75±0.49) and (2.57±0.31), the control groups were (8.01±1.28), (6.27±0.87), (4.31±0.47) and (3.15±0.25). The pain VAS scores of the observation group were signi?cantly lower on the 4th, 9th, 14th day and the 1st postoperative day in the control group (P<0.05). Conclusion The prescription detoxifying Shengji Decoction combined with comfrey oil gauze can signi?cantly increase the benign exudation in the early postoperative period, relieve the edema of the wound, reduce the postoperative pain and accelerate the wound healing, which is suitable for clinical promotion.
