辽宁中医杂志2026，Vol.53Issue(6)：117-120,4.DOI:10.13192/j.issn.1000-1719.2026.06.031
透脓散联合四妙勇安汤加减在肛周脓肿术后的应用研究
Application of Modified Tounong Powder(透脓散)Combined with Modified Simiao Yong'an Decoction(四妙勇安汤)in Postoperative Treatment of Perianal Abscess
摘要
Abstract
Objective To study the application effect of modified combination of Tounong Powder(透脓散)and Simiao Yong'an Decoction(四妙勇安汤)in the postoperative treatment of perianal abscess.Methods A total of 130 patients with perianal ab-scess in Colorectal Center of Hebei Hospital of Traditional Chinese Medicine from November 2023 to April 2024 were collected as the research subjects.They were randomly divided into two group according to a random number table,with 65 patients in each group.The control group received intravenous infusion of cefuroxime sodium and sodium chloride as well as potassium permanga-nate solution sitz bath treatment,and the study group received modified treatment with Tounong Powder and Simiao Yong'an De-coction on the basis of the control group.Both groups were treated for 3 weeks.The therapeutic effects,TCM syndrome scores,the levels of vascular endothelial growth factor(VEGF)and C-reactive protein(CRP)between two groups after treatment for 7,14 and 21 d were compared,the wound healing status of two groups(wound secretions,wound pain,wound granulation tissue score)were compared.Results The total effective rate of the study group was 95.38％(62/65),which was higher than that of the control group[84.62％(55/65),P＜0.05].After 7,14 and 21 d of treatment,the wound secretion and wound pain scores of the study group were lower than those of the control group,and the wound granulation score was higher than that of the control group(P＜0.05).The score of traditional Chinese medicine syndrome in the study group was lower than that in the control group(P＜0.05).The VEGF level in the study group was higher than that in the control group,and the CRP level was lower than that in the control group(P＜0.05).Conclusion The application effect of the combination of Tounong Powder and Simiao Yong'an Decoction after perianal abscess surgery is significant,which can effectively reduce the inflammatory reactions,improve the traditional Chi-nese medicine clinical symptoms,alleviate the pain and promote the wound healing.关键词
肛周脓肿/炎症/透脓散/四妙勇安汤/中医证候Key words
perianal abscess/inflammation/Tounong Powder(透脓散)/Simiao Yong'an Decoction(四妙勇安汤)/TCM syn-drome分类
医药卫生引用本文复制引用
麻倩,李龙生,宋易华,陈善虎..透脓散联合四妙勇安汤加减在肛周脓肿术后的应用研究[J].辽宁中医杂志,2026,53(6):117-120,4.基金项目
河北省中医药管理局科研计划项目(2024203) （2024203）
