自拟苦参汤对肛术后愈合影响的临床研究.pdfVIP

Clinical Research on the Effect of Matrine Soup on the Healing of Surgical Wounds of Anal Fistula Speciality: Surgery of TCM Author: Xu Yuanhui Tutor: Prof. Mei Xiaoling Abstract Objective:To observe mechanism and study the efficacy of Matrine soup on the healing of surgical wounds of simple low anal fistula . Methods: Select 60 patients with the simple low anal fistula,including 30 cases of the treatment group,the control group of 30 patients.From the second day,the treatment group was used the Matrine soup washing the surgical wound,and the control group with the Huaziye soup .Both groups were used Hongfeng gauze to treat wounds for the first week after surgery. From the second week,both groups were used Muogenic Yu-cream gauze once a day,until the wounds was healed.Wound exudations,wound healing and adverse reactions were observed. Results: There was significant difference in effect of two groups.The effect of the treatment group was significantly better than the control group in healing and reducing adverse rections. Conclusion: With the role of replenishing qi, invigorating blood circulation, dissipating heat, and drying the damp, Matrine soup can accelerate wound healing, and relieve pain, exudate, and other early symptoms. Key words Matrine soup;Wound healing;Clinical research 目 录 引 言 1 临床研究 2 一、临床资料 2 （一）病例来源 2 （二）诊断标准 2 （三）病例的纳入及排除标准 3 （四）一般资料 3 二、研究方法 5 （一）治疗方法 5 （二）观察指标及方法 6 （三）评价标准 6 （四）统计学方法 7 三、研究结果 7 （一）术后不同时间肛门疼痛情况比较 7 （二）术后不同时间肛门瘙痒情况比较 8 （三）术后不同时间创面渗液量比较 8 （四）术后不同时间创面最大纵径比较 8 （五）术后不同时间创面最大横径比较 9 （六）术后不同时间创面肉芽形态比较 9 （七）术后不同时间创面愈合率况比较 9 讨 论 10 一、肛瘘术后创面愈合的研究 10