| 摘要: |
| 目的：观察三五散对低位肛周脓肿术后创面愈合及瘢痕修复的临床疗效。方法：将60例低位肛周脓肿患者随机分为治疗组与对照组，每组各30例，2组均予以低位肛周脓肿一次性根治术。术后第2天起，创口常规换药后创口表面治疗组予三五散均匀涂布，对照组予云南白药均匀涂布。比较2组创面腐肉脱落及创面愈合时间，创面分泌物、创面肉芽生长、瘢痕修复程度评分，以及创面面积缩小率。结果：2组患者创面均能完全愈合，但创面腐肉脱落及创面愈合时间比较，差异均有统计学意义（P<0.05）；创面分泌物评分术后第7、14天比较，及肉芽生长评分术后第14、21天比较，差异均有统计学意义（P<0.05）；瘢痕修复程度评分术后第14、21天比较，及创面面积缩小率术后第7、14、21天比较，差异均有统计学意义（P<0.05）。结论：三五散具有加快肛周脓肿术后创面修复，缩小、软化瘢痕，减少患者疼痛，提高术后患者生活质量的作用。 |
| 关键词: 低位肛周脓肿 术后创面 中医药疗法 三五散 |
| DOI： |
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| Clinical effect of Sanwu powder on wound healing and scar repair after surgery for low perianal abscess |
| ZHANG Yan,HUANG Yebao,LIU Chunqiang |
| (The People’s Hospital of Liuzhou in Guangxi Zhuang Autonomous Region，Liuzhou 545000，Guangxi，China;Guangxi University of Chinese Medicine，Nanning 530001，Guangxi，China) |
| Abstract: |
| Objective：To investigate the clinical effect of Sanwu powder on wound healing and scar repair after surgery for low perianal abscess.Methods：A total of 60 patients with low perianal abscess were randomly divided into treatment group and control group，with 30 patients in each group.Both groups were given a single radical surgery for low perianal abscess.Since day 2 after surgery，the patients in the treatment group were given topical application of Sanwu powder on wound surface after conventional dressing change，and those in the control group were given Yunnan white medicinal powder.The two groups were compared in terms of time to slough falling，wound healing time，scores of wound secretion，wound granulation growth，and scar repair，and rate of wound area reduction.Results：Both groups achieved complete would healing，but there were significant differences between the two groups in time to slough falling and wound healing time (P<0.05).There were also significant differences between the two groups in the score of wound secretion on days 7 and 14 after surgery，the scores of wound granulation growth and scar repair on days 14 and 21 after surgery，and the rate of wound area reduction on days 7，14，and 21 after surgery (P<0.05).Conclusion：For patients undergoing surgery for perianal abscess，Sanwu powder can promote postoperative wound healing，reduce and soften scar，reduce pain，and improve quality of life after surgery. |
| Key words: low perianal abscess postoperative wound traditional Chinese medicine treatment Sanwu powder |
