辩证外敷中药促进肛周脓肿术后创面愈合的 临床研究

Clinical Study on Dialectical External Application-Based Topical Chinese Herbal Medicine for Promoting Postoperative Wound Healing of Perianal Abscess

摘要: 目的：观察中药辩证外敷对肛周脓肿术后创面愈合的临床效果。方法：选择2023年11月~2025年12月于海宁市中医院肛肠科住院的150例肛周脓肿的住院患者为研究对象，按随机数字表法1:1原则分为对照组、研究组，每组各75例，对照组给予常规消毒后，用表皮生长因子纱条外敷进行换药治疗至创面愈合，研究组在常规消毒后，根据创面情况予中医祛腐及生肌法换药治疗直至创面愈合。比较两组创面分泌物量、创缘疼痛、创面肉芽新鲜程度及创面愈合时间。结果：研究组治疗总有效率为91.89%，高于对照组的68.42%，差异有统计学意义(P < 0.05)。治疗后，经数据挖掘技术分析，两组术后创面均愈合，但研究组在创面分泌物量、创缘疼痛、创面肉芽新鲜程度及创面愈合时间均优于对照组，差异有统计学意义(P < 0.05)。结论：用中医辨证论治来指导中医外治，分别予以祛腐散、生肌散，辨证换药处理，对肛周脓肿术后创面愈合具有明显促进意义。有加速创面愈合、减轻术后创面疼痛、缩短病程的功效，且安全性较高，值得临床推广。

Abstract: Objective: To observe the clinical effect of dialectical external application of traditional Chinese medicine on wound healing after perianal abscess operation. Methods: 150 patients with perianal abscess hospitalized in the anorectal department of Haining Traditional Chinese Medicine Hospital from November 2023 to December 2025 were selected as the research object, and were randomly divided into control group and study group according to the principle of 1:1. The control group was given routine disinfection, and then treated with epidermal growth factor gauze for dressing change until the wound healed, while the study group was treated with traditional Chinese medicine for removing rot and promoting granulation according to the wound condition until the wound healed. The amount of wound secretion, wound edge pain, fresh degree of wound granulation and wound healing time were compared between the two groups. Results: The total effective rate of the study group was 91.89%, which was higher than that of the control group (68.42%), and the difference was statistically significant (P < 0.05). After treatment, the data mining analysis showed that the wounds of the two groups were all healed after operation, but the amount of wound secretion, wound edge pain, freshness of wound granulation and wound healing time in the study group were better than those in the control group, with statistical significance (P < 0.05). Conclusion: TCM treatment based on syndrome differentiation can guide external treatment of TCM, including Qufu powder, Shengji powder and dressing change based on syndrome differentiation, which has obvious promotion significance for wound healing after perianal abscess operation. It has the effects of accelerating wound healing, relieving postoperative wound pain and shortening the course of disease, and is safe and worthy of clinical promotion.