复方丹参注射液在肛裂术后封闭注射长强穴对创面愈合的临床探究.pdfVIP

提 要 目的：探寻复方丹参注射液在肛裂术后封闭注射长强穴对创面愈合的临床疗效， 研究其作用机理。 方法：选择行肛裂切除术患者 60 例，随机分为治疗组、对照组，每组患者 30 例，治疗组手术结束后给予复方丹参注射液 2ml 封闭注射长强穴，对照组不予处理。 换药期间详细记录创面宽度、深度；疼痛、水肿程度；肉芽生长指标，并制定标准进 行评分。对比两组创面平均愈合时间，用药后症状体征疗效和临床总疗效。 结果：治疗组和对照组，平均愈合时间分别为（19.37±2.33 ）天和（21.47 ±2.48 ） 天，治疗组愈合速度明显快于对照组(P＜0.01) ；术后第 1 天，治疗组对疼痛和水肿的 有效率分别为 100%、96.67%，对照组对水肿的有效率分别为 86.67%、83.33%，治疗 组对疼痛和水肿的疗效优于对照组（P ＜0.01，P ＜0.05 ）；术后第7 天后，治疗组对疼 痛和水肿的有效率分别为：100%、100%，对照组对疼痛和水肿的有效率分别为 93.33%、90%，治疗组对疼痛和水肿的疗效明显优于对照组（P ＜0.01 ）；术后第 14 天，两组总有效率分别为 100%、93.33%，两组临床总疗效无明显差异（P ＞0.05 ）； 术后第 21 天治疗组和对照组痊愈率分别为 93.33%、53.33%，总有效率分别为 100%、 93.33%，两组临床总疗效有显著性差异（P ＜0.05 ）。 结论：复方丹参注射液具有活血化瘀、凉血消肿、理气止痛作用，且封闭注射入 长强穴可调节经络气血，加快创面愈合，并能减缓疼痛、消除水肿等早期不适症状体 征。 关键词 复方丹参注射液；长强穴；封闭注射；创面愈合 Clinical study of compound danshen injection closed injecting changqiang acupoint at anal fissure postoperation Speciality:External Medicine of TCM Author:My Yuanyuan Tutor: Prof. Zhu Song Abstract Objective: To observe the efficacy and mechanism of compound danshen injection closed injecting changqiang acupoint in wound healing after the anal fissure operation. Methods: Select 60 patients with the anal fissure, including 30 cases of the treatment group, the control group of 30 patients, randomly, anal fissure postoperation with compound danshen injection closed injecting changqiang acupoint or no treatment.Detailed recording vertical diameter, depth; pain, edema; granulation growth indicators during wound dressing change, and score. Compare the average healing time, effects of symptoms and signs before and after wound dressing change,and the total therapeutic effect. Results: In the treatment group and the control group, the average healing time for (19.37 ±2.33) days and (21.47 ±2.48 ) days, the treatment group healed significantly faster rate in the co