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护场理论指导下溻渍箍围法促初期肛痈消散的疗效评价及研究
田影,牛克娜,朱泽宇,胥文莉,张朝晖
天津中医药大学第二附属医院天津 300250;天津中医药大学研究生院天津 301617
摘要:
目的:观察中药消痈止痛方溻渍联合金黄膏外敷箍围促进肛痈初期红肿消退的临床疗效,为护场理论指导下的外治法治疗肛周脓肿提供科学依据。方法:选取2022年5月—2023年9月本院收治的肛痈初期(阳证)患者72例,按随机数字表法随机分为对照组和治疗组两组,每组各36例。对照组采用头孢地尼胶囊联合甲硝唑片口服,温水坐浴;治疗组采用消痈止痛方熏洗坐浴联合金黄膏于肛周肿块处外敷箍围。7 d后比较两组患者体征-炎症积分、肿块范围大小、肛门疼痛指数、护场形成率、临床总疗效及不良反应情况。结果:两组总有效率差异具有统计学意义(P <0.05),说明治疗组总体疗效优于对照组;治疗组在改善全身症状、缩小肿块范围、缓解肛门疼痛、促进护场形成等方面均优于对照组(P <0.05)。结论:肛痈初期以溻渍箍围为主局部用药,使药物直达病所,中药外治溻渍箍围法可有效促进红肿消退,缓解疼痛,促进护场形成,具有很好的临床应用价值。
关键词:  护场  溻渍箍围  肛痈  疗效
DOI:10.3969/j.issn.1007-6948.2025.06.011
投稿时间:2025-02-16
基金项目:天津市中医中西医结合科研课题(2021109);天津中医药大学中医疮疡研究所建设项目(津中医科研〔2022〕6号)
Efficacy evaluation of external medicinal liquid application and hoop circumference for promotionally dispersing initial anal carbuncle under the theory of defended field
TIAN Ying,NIU Ke-na,ZHU Ze-yu
Abstract:
Objective To observe the clinical efficacy of the Xiaoyong Zhitong decoction for external medicinal liquid application combined with Jinhuang ointment for hoop circumference which promoted the regression of redness and swelling in the initial stage of anal carbuncle and to explore its preliminary mechanism, so as to provide scientific evidence for the external therapy of perianal abscess guided by the defended field theory. Methods A total of 72 patients up to standards were divided into the control group and the treatment group, with 36 cases in each group. The control group was performed on oral administration of Cefdinir capsules combined with Metronidazole Tablets and sitz baths. The treatment group was performed on the Xiaoyong Zhitong decoction for external medicinal liquid application combined with Jinhuang Ointment for hoop circumference sitting around the perianal swelling. 7 days later, compare signs-inflammation scores between two groups, swelling area, perianal pain severity, defended-field formation rate, overall clinical efficacy rate, and side effect evaluation. Results The comparison of both groups′ total effectiveness rates, which differentiation was statistically significant indicated that total efficacy was superior for the treatment group rather than the control group(P <0.05). The treatment group demonstrated greater advantage in improving systemic symptoms, deducing lump area, alleviating perianal pain, and accelerating the establishment of defended field(P <0.05). Conclusion It was the regional application focusing on external medicinal liquid application and hoop circumference in the preliminary stage of anal carbuncle that directed the drugs′ effectual component to the illness station. External application with Chinese herbals could effectively promote the dissipation of swelling and the self-ulceration of pus, alleviate pain, and promote the establishment of defended field, which has demonstrating clinical utility.
Key words:  Defended field  external medicinal liquid application and hoop circumference  anal carbuncle  efficacy

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