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基于护场理论消肿溃脓方联合金黄膏外敷对肛周脓肿术后修复的影响
杨艳黎,李研,潘友珍,周丽波,郑振麟,薛亭
上海市浦东新区公利医院肛肠科上海 200135
摘要:
目的:基于中医外科传统护场理论,观察消肿溃痈方口服联合金黄膏外敷对肛周脓肿术后患者的临床疗效。方法:选取2023年7月—2024年3月在上海市浦东新区公利医院肛肠科行肛周脓肿切开引流术且创旁见红肿硬结的患者90例,按照手术时间顺序随机分成观察组和对照组各45例,观察组给予消肿溃痈方口服联合金黄膏外敷护场治疗,对照组予消肿溃痈方口服,疗程7 d。检测记录两组治疗前后的白细胞(WBC)、C反应蛋白(CRP)及白细胞介素6(IL-6)水平;治疗3 d、7 d后,记录并比较两组肛门疼痛、肉芽评分、创面面积及护场面积;对比两组临床疗效及愈合时间。结果:观察组的炎症指标、肛门疼痛、创面面积、护场面积均低于对照组,观察组的创面愈合时间短于对照组,临床疗效优于对照组(P <0.05)。两组创面肉芽评分比较无统计学差异(P >0.05)。结论:基于护场理论运用消肿溃痈方口服联合金黄膏外敷治疗,可降低肛周脓肿术后炎症因子水平,促进炎症消散,减轻疼痛,促进创面愈合,突出中医外科特色,值得临床推广应用。
关键词:  护场理论  肛周脓肿  消肿溃痈方  金黄膏  临床疗效
DOI:10.3969/j.issn.1007-6948.2025.03.006
投稿时间:2024-09-08
基金项目:上海市浦东新区中医药科技创新项目(PDZY-2022-0916);上海市浦东新区科委项目(PKJ2020-Y74)
Effect of Xiaozhong Kuiyong recipe combined with external application of Jinhuang ointment on the postoperative repair of perianal abscess based on the focus field protection theory
YANG Yan-li,LI Yan,PAN You-zhen
Department of Proctology Surgery, Gongli Hospital of Pudong New Area, Shanghai 200135, China
Abstract:
Objective To observe the clinical effect of oral administration with Xiaozhong Kuiyong recipe combined with external application of Jinhuang ointment on the clinical efficacy of postoperative patients with perianal abscess based on the focus field protection theory. Methods Ninety patients randomly divided into the observation group(45 cases) and the control group(45 cases).Patients in the observation group were given oral administration Xiaozhong Kuiyong recipe combined with external application of Jinhuang ointment on the focus field protection, while patients in the control group were given oral administration Xiaozhong Kuiyong recipe, Course of treatment was 7 days. Detect WBC, CRP, and IL-6 before and after treatment; the scores of wound pain and granulation color, wound area, and protective field area were evaluated and recorded; the curative effect wase valuated, and the time of wound healing were recorded. Results The inflammatory indicators, anal pain, wound area, protective field area, wound healing time, and clinical efficacy of the observation group were all better than those of the control group (P <0.05). There were no statistically significant differences on the wound granulation color scores between the two groups (P >0.05). Conclusion Based on the focus field protection theory, the application of oral administration Xiaozhong Kuiyong recipe combined with external application of Jinhuang ointment,can reduce the inflammation index of perianal abscess, promote the dissipation of inflammation, shorten the recovery time, and lower postoperative anal fistula formation,highlighting the characteristics of traditional Chinese medicine surgery, which is worthy of clinical promotion.
Key words:  Focus field protection theory  perianal abscess  Xiaozhong Kuiyong recipe  Jinhuang ointment  clinical efficacy

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