中国中西医结合外科杂志2026，Vol.32Issue(4)：488-491,4.DOI:10.3969/j.issn.1007-6948.2026.04.005
耳穴三联疗法联合中药熏洗坐浴对湿热下注型低位单纯性肛瘘术后的疗效
Efficacy of auricular point triple therapy combined with traditional Chinese medicine fumigation and sitting bath on syndrome of downward flow of damp-heat dampness of anal fistula cases after surgery
摘要
Abstract
Objective To analyze the efficacy of auricular point triple therapy combined with traditional Chinese medicine fumigation and sitting bath on syndrome of downward flow of damp-heat dampness of anal fistula cases after low simple anal fistula(LSAF)surgery.Methods A total of 122 patients who underwent LSAF surgery in Nanjing hospital of Chinese medicine from January of 2023 to January of 2025 were selected and randomly divided into two groups with 61 patients in each group.Participants in both groups received LSAF surgery and were given anti-infection,hemostasis,and other conventional drugs after surgery.The control group received auricular point triple therapy on the 2nd day after operation.The combined group was treated with three auricle points as the control group and self-made preparation"detumescence lotion"traditional Chinese medicine fumigation and sitting-bath on the 2nd day after operation.The two groups were observed for 14 days.The perianal pain visual analogue scale(VAS)and anal edema score,the time for pain and edema to disappear,wound healing time,treatment effect and serum level of vascular endothelial growth factor(VEGF)were compared between the two groups.Results On day 7 and 14 after operation,VAS scores and scores of anal edema in both groups were evidently reduced,and the reduction was more evident in the combined group(P＜0.05).Compared with the control group,the time for pain and edema to disappear in the combined group was evidently reduced(P＜0.05).The wound healing time in combination group(14.33±3.16)d was evidently shorter than that in control group(16.93±3.44)d(P＜0.05).Serum level of VEGF in the two groups were evidently increased at 7 and 14 days after operation,and the cases in the combined group were evidently increased(P＜0.05).The total effective rate of the combined group(93.44％)was evidently higher than control group(78.69％)(P＜0.05).Conclusion Auricular point triple therapy combined with Chinese herbal fumigation and sitting-bath can evidently reduce pain after LSAF surgery,improve anal edema,promote wound healing,has an evident efficacy,and increase serum level of VEGF.关键词
低位单纯性肛瘘/湿热下注证/耳穴三联疗法/中药熏洗/血管内皮生长因子Key words
Low simple anal fistula/syndrome of damp-heat dampness/auricular point triple therapy/traditional Chinese medicine fumigation/vascular endothelial growth factor分类
医药卫生引用本文复制引用
袁亚丽,郑雪平,王可为,孙雨晴,汤小青,杜媛..耳穴三联疗法联合中药熏洗坐浴对湿热下注型低位单纯性肛瘘术后的疗效[J].中国中西医结合外科杂志,2026,32(4):488-491,4.基金项目
第六批南京市老中医药专家学术经验继承项目(2024NJLPSC-ZXP) （2024NJLPSC-ZXP）
