养阴生肌散联合蛋黄油促进肛裂术后创面愈合的研究

发布时间：2018-05-13 05:25

本文选题：养阴生肌散 + 蛋黄油　；参考：《南京中医药大学》2016年硕士论文

【摘要】：目的：评价应用养阴生肌散联合蛋黄油换药对肛裂患者术后创面愈合的影响。方法：将2015年2月至2016年2月期间在如皋市中医院住院接受肛裂切除、内括约肌松解术的64例肛裂患者按照随机原则分为实验组(养阴生肌散+蛋黄油组)和对照组(肛泰软膏组),实验组便后采用养阴生肌散联合蛋黄油创面换药,对照组采用肛泰软膏创面换药；观察两组患者换药前后疼痛评分、出血评分、红肿情况评分、分泌物评分、同等时间创面愈合率、创面愈合时间,并进行比较。结果：养阴生肌散+蛋黄油组和肛泰软膏组在创面愈合率方面无明显差异,但养阴生肌散+蛋黄油组在创面出血、疼痛、红肿、渗出及同等时间创面愈合率、平均创面愈合时间方面均优于肛泰软膏组。说明养阴生肌散联合蛋黄油创面换药能明显改善肛裂术后患者的出血、疼痛等症状,减少创面红肿、渗出情况,有效促进创面愈合。结论：运用养阴生肌散联合蛋黄油创面换药来促进肛裂术后创面愈合是安全有效的,具有传统医学简、便、廉等优点,是肛肠术后创面换药的有益补充。运用中医药来促进创面愈合,扩展中医药临床应用,让我们对中医药干预创面愈合有了更多的期望,为我们开展临床工作提供了更广泛思路。虽然目前已取得一定成果,但因应用较为局限,多中心、大样本研究报道较少,有待于进一步深入研究探讨。
[Abstract]:Objective: to evaluate the effect of Yangyin Shengji Powder combined with egg yolk oil on wound healing after anal fissure. Methods: from February 2015 to February 2016, anal fissure resection was performed in Rugao traditional Chinese Medicine Hospital. 64 cases of anal fissure treated by internal sphincter lysis were randomly divided into experimental group (yolk oil group) and control group (anal tai ointment group). The experimental group was treated with Yangyin Shengjisan combined with egg yolk oil. The pain score, bleeding score, redness score, secretion score, wound healing rate and wound healing time before and after dressing change were observed and compared between the two groups. Results: there was no significant difference in wound healing rate between the yolk oil group and the Shentai ointment group, but the wound healing rate was found in the bleeding, pain, redness, exudation and wound healing rate in the Yangyin Shengji San egg yolk oil group. The average healing time of wound was better than that of Zhantai ointment group. The results showed that Yangyin Shengji Powder combined with egg yolk oil dressing could obviously improve the bleeding and pain symptoms of the patients after anal fissure, reduce the redness and exudation of the wound, and promote the wound healing effectively. Conclusion: it is safe and effective to use Yangyin Shengji Powder combined with egg yolk oil to promote the wound healing after anal fissure. The application of Chinese medicine to promote wound healing and expand the clinical application of traditional Chinese medicine, let us have more expectations for Chinese medicine to intervene wound healing, and provide a more extensive way of thinking for us to carry out clinical work. Although some achievements have been made at present, due to the limitation of application, multi-center and large sample research reports are few, which need to be further studied and discussed.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R266

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