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拔毒生肌散用于肛肠疾病术后换药的临床观察

傅丽元 屈映 张书信 高静 荆涛 郑娇 代秋颖 芦煜 刘子号 李诗莹

世界中医药2018,Vol.13Issue(6):1372-1375,4.
世界中医药2018,Vol.13Issue(6):1372-1375,4.DOI:10.3969/j.issn.1673-7202.2018.06.015

拔毒生肌散用于肛肠疾病术后换药的临床观察

Clinical Observation on Badu Shengji Powder for Postoperative Dressing Replacement of Anorectal Diseases

傅丽元 1屈映 1张书信 1高静 1荆涛 1郑娇 1代秋颖 1芦煜 1刘子号 1李诗莹1

作者信息

  • 1. 北京中医药大学东直门医院肛肠科,北京,100700
  • 折叠

摘要

Abstract

Objective:To explore the efficacy and safety of Badu Shengji powder for dressing replacement after anorectal diseases . Methods:A total of 19 patients with anal fistula and perianal abscess in our hospital from April 2017 to August 2017 were included and divided into group A or group B according to their different conditions .There were 7 cases who delayed wound healing for one month assigned to group A ,and 12 cases with infected wounds were assigned to group B.All of the patients were stuffed or covered with the sterilized gauze which infiltrationed with Badu Shengji powder and Vaseline mixed in ratio of 1:9.After routine disinfection and removal of the clinging skin ,padding or external application was performed ,once a day for 7 days.The effective rate,the wound area,the score of pus secretion,the score of local pain and itch ,the liver and kidney function and the side effects were observed be-fore and after treatment in the two groups.Results:Both groups had an ideal curative effect ,and the total effective rate was 95.7%. The group A (86.7%) had a tendency to had superior curative effect than group B (100%) (P>0.05); the area of wound sur-face decreased significantly (P<0.05),The purulent rot score was significantly reduced (P<0.05),and the local pain and pruri-tus score did not decrease significantly (P>0.05).No adverse reactions were found ,and liver and kidney functions were not foun-ded abnormal.Conclusion:It is effective and safe for the dressing replacement of the refractory wounds and infected wounds after the operation of anorectal diseases.It is worth to expand the sample size,prolong the observation time ,and conduct the randomized controlled trial further more.

关键词

拔毒生肌散/肛瘘/肛周脓肿/术后换药/创面修复

Key words

Badu Shengji powder/Anal fistula/Perianal abscess/Dressing replacement

分类

医药卫生

引用本文复制引用

傅丽元,屈映,张书信,高静,荆涛,郑娇,代秋颖,芦煜,刘子号,李诗莹..拔毒生肌散用于肛肠疾病术后换药的临床观察[J].世界中医药,2018,13(6):1372-1375,4.

基金项目

国家中药标准化项目(ZYBZH-C-HUB-20) (ZYBZH-C-HUB-20)

世界中医药

OACHSSCDCSTPCD

1673-7202

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