摘要
【目的】观察基于护场理论运用如意金黄散外敷治疗肛周蜂窝织炎术后患者的临床疗效。【方法】将86例肛周蜂窝织炎术后患者随机分成观察组44例和对照组42例。观察组患者给予如意金黄散外敷护场治疗,对照组患者给予凡士林外敷护场治疗,疗程为7 d。观察2组患者治疗前后红肿、疼痛、高热寒战等临床症状评分以及血清C反应蛋白(CRP)和白细胞介素6(IL-6)水平的变化情况,并评价2组患者的临床疗效。【结果】(1)治疗7 d后,观察组的总有效率为90.91%(40/44),对照组为66.67%(28/42),组间比较,观察组的临床疗效明显优于对照组,差异有统计学意义(P<0.01)。(2)治疗后,2组患者的红肿、疼痛、高热寒战等临床症状评分均较治疗前明显降低(P<0.01),且观察组对各项临床症状评分的降低作用均明显优于对照组,差异均有统计学意义(P<0.01)。(3)治疗3、7 d后,2组患者血清CRP、IL-6水平均较治疗前明显降低(P<0.01),且观察组对血清CRP、IL-6水平的降低作用均明显优于对照组,差异均有统计学意义(P<0.01)。【结论】基于护场理论运用如意金黄散外敷治疗肛周蜂窝织炎疗效确切,可明显加快术后红肿硬结消散、疼痛消失和切口收口,有效降低炎症因子水平,加快局部炎症消散,促进术后康复。
Objective To observe the clinical effect of external application with Ruyi Jinhuang Powder(an external application formula with the actions of clearing heat and removing toxin,alleviating swelling and relieving pain)in treating perianal cellulitis after operation based on the focus field protection theory. Methods Eighty-six patients with perianal cellulitis were randomly divided into observation group(n = 44)and control group(n = 42). The observation group was given external application of Ruyi Jinhuang Powder for focus field protection treatment,while the control group was given external application of vaseline for field protection treatment, the course of treatment lasting 7 days. Before and after treatment, we observed the scores of clinical symptoms such as swelling,pain,high fever and chills,and the serum levels of C-reactive protein(CRP)and interleukin-6(IL-6)in the two groups. After treatment,the clinical efficacy of the two groups was evaluated. Results(1)After 7 days of treatment,the total effective rate of the observation group was 90.91%(40/44),and that of the control group was 66.67%(28/42). The intergroup comparison showed that the clinical efficacy of the observation group was significantly superior to that of the control group, and the difference being statistically significant(P < 0.01).(2)After treatment,the scores of clinical symptoms such as swelling,pain,high fever and chills in the two groups were significantly decreased compared with those before treatment(P < 0.01),and the observation group had stronger effect on decreasing the clinical symptom scores than the control group, the difference being statistically significant(P < 0.01).(3)After 3 and 7 days of treatment,the serum CRP and IL-6 levels in the two groups were significantly decreased compared with those before treatment(P < 0.01),and the observation group had stronger effect on decreasing the serum CRP and IL-6 levels than the control group, the difference being statistically significant(P < 0.01). Conclusion External application wi
作者
曹敏然
张书信
屈映
刘子号
姬慧茹
CAO Min-Ran;ZHANG Shu-Xin;QU Ying;LIU Zi-Hao;JI Hui-Ru(Dept.of Anorectal Surgery,Dongzhimen Hospital of Beijing University of Chinese Medicine,Beijing 100700,China)
出处
《广州中医药大学学报》
CAS
2021年第12期2628-2633,共6页
Journal of Guangzhou University of Traditional Chinese Medicine
基金
国家自然科学基金资助项目(编号:81473689)。
关键词
护场理论
肛周蜂窝织炎
如意金黄散
外治法
focus field protection theory
perianal cellulitis
Ruyi Jinhuang Powder
external treatment
