大黄油纱用于肛裂术后作用创面愈合的临床观察.pdfVIP

提 要 目的：观察大黄油纱在肛裂术后换药中影响创面愈合的作用。方法：随机选择肛 裂术后患者 60 例，其中治疗组 30 例，对照组 30 例，分别给予大黄油纱和凡士林油 纱换药，1次/d。换药期间详细观察创面的宽度、深度，疼痛、水肿程度，肉芽生长 指标，并对以上指标量化评分。比较两组创面平均愈合时间、换药前后症状体征疗效 和临床总疗效。结果：治疗组和对照组，平均愈合时间分别为（19.80±2.27）d 和 （21.90±3.24）d，治疗组愈合速度明显快于对照组(P0.01)；换药 6d 后，治疗疼 痛的有效率分别为 93.33%、90.00%，治疗水肿的有效率分别为 84.62%、96.00%，治 疗组减轻疼痛的疗效优于对照组（P0.05），消除水肿的疗效不确切（P0.05）；换药 13d后，总有效率分别为100%、96.67%，两组临床总疗效无明显差异（P0.05）；20d 后痊愈率分别为90.00%、63.33%，两组临床总疗效有显著性差异（P0.05），临床总 疗效治疗组明显优于对照组（P0.01、P0.05）。结论：大黄油纱有清热解毒、消肿 止痛、祛腐生肌的作用，能缓解术后疼痛等不适症状，加快创面愈合。 关键词 大黄油纱；肛裂术后；创面愈合；临床研究 Cinical observation of big Butter yarn influencing wound healing at anal fissure postoperation Speciality:External Medicine of TCM Author:Wang Shaozhao Tutor:Prof.Bai Keyun Abstract Objective:to observe the effect of Big butter yarn on influencing the wound healing of the anal fissure.Methods:to select randomly 60 cases of patients with anal fissure,the treatment group 30 cases were given Big butter yarn,the control group 30 cases were given Vaseline gauze,1times/d.Detailed observations the change of the width,depth, pain,edema,granulation growth indicators during the wound dressing,and indicators to quantify the above score.Compared the average wound healing time,the dressing was changed before and after the symptoms and signs of clinical efficacy and overall efficacy between the two groups.Results:The treatment group and control group,the average healing time was(19.80±2.27)d and(21.90±3.24)d,the speed of the treatment group healed significantly faster than the control group(P0.01);Dressing 6d,the treatment of pain effective rates were 93.33%,90.00%,the treatment of edema in the