复方荆芥熏洗剂对肛周脓肿术后患者创面愈合及血清生长因子表达的影响

Effect of Fufang Jingjie Fumigation Lotion on postoperativewound healing and expression of serum growth factors in patients after perianal abscess surgery

  • 摘要:
      目的  观察复方荆芥熏洗剂对肛周脓肿术后创面愈合及血清生长因子表达的影响。
      方法  选取86例肛周脓肿手术患者作为研究对象,根据患者及家属意愿分为对照组42例(采用常规治疗)和观察组44例(采用常规治疗联合复方荆芥熏洗剂治疗),均治疗3周。比较2组治疗后临床指标,评估2组治疗前和治疗3、9、15 d时的创面水肿、疼痛情况,比较2组治疗前、治疗3周时的酸性成纤维细胞生长因子(aFGF)、碱性成纤维细胞生长因子(bFGF)水平。
      结果  观察组腐肉完全脱落时间、创面愈合时间短于对照组,创面缩小率高于对照组,差异有统计学意义(P < 0.05);治疗3、9、15 d时,2组创面水肿评分、视觉模拟评分法(VAS)评分低于治疗前,且观察组评分低于对照组,差异有统计学意义(P < 0.05);治疗3周时,2组血清aFGF、bFGF水平高于治疗前,且观察组水平高于对照组,差异有统计学意义(P < 0.05)。
      结论  肛周脓肿术后患者使用复方荆芥熏洗剂治疗可促进术后创面恢复,减轻疼痛程度。

     

    Abstract:
      Objective  To observe the effect of Fufang Jingjie Fumigation Lotion on wound healing and serum growth factors after perianal abscess operation.
      Methods  A total of 86 patients with perianal abscess surgery in our hospital were selected as study objects, and were divided into control group (42 cases, routine treatment) and an observation group (44 cases, routine treatment combined with Fufang Jingjie Fumigation Lotion) according to the choice of patients and their families, both groups were treated for 3 weeks. The clinical indicators were compared, the wound edema and pain conditions before treatment, at 3, 9, 15 d after treatment between the two groups were compared. The levels of acidic fibroblast growth factor (aFGF), recombinant human basic fibroblast growth factor (bFGF) before treatment and after 3 weeks of treatment were compared between the two groups.
      Results  The time of complete carrion shedding and wound healing in the observation group were shorter than those of in the control group, and the reduction rate of wound surface was higher than that in the control group (P < 0.05); at 3, 9, 15 d after treatment, the wound edema score and Visual Analogue Scale(VAS) score of both groups were significantly lower than those before treatment, and the observation group was lower than the control group (P < 0.05); after 3 weeks of treatment, the serum aFGF and bFGF levels of both groups were higher than those before treatment, and the observation group was higher than the control group (P < 0.05).
      Conclusion  Fufang Jingjie Fumigation Lotion for patients with perianal abscess surgery is more conducive to promoting the postoperative wound recovery and relieving the pain degree.

     

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