壮药葫芦茶对肛周脓肿术后创面愈合的临床观察
Clinical Observation of Zhuang Medicine Tadehagi triquetrum in Promoting Wound Healing after Perianal Abscess Surgery
DOI: 10.12677/acm.2026.1693278, PDF,    科研立项经费支持
作者: 李 可:广西中医药大学第一附属医院肝胆胰外科,广西 南宁;柏志玉*:广西中医药大学第一附属医院伤口护理门诊,广西 南宁;黄晓燕, 李叶文:广西中医药大学第一附属医院肛肠外科,广西 南宁
关键词: 肛周脓肿;葫芦茶溶液;创面愈合;中医外治;肛痈;换药;Perianal Abscess; Tadehagi triquetrum Solution; Wound Healing; External Treatment of Traditional Chinese Medicine; Anal Carbuncle; Dressing Change
摘要: 目的:观察壮药葫芦茶溶液对肛周脓肿术后创面愈合的效果。方法:选取60例肛周脓肿术后患者,按照随机数字表法分为对照组和观察组,各30例。对照组在术后使用常规换药,观察组使用葫芦茶溶液换药。两组患者均以5天为1个疗程,连续治疗2个疗程。比较两组干预前后疼痛程度、分泌物情况、肉芽组织生长以及创面愈合时间。结果:干预后,两组疼痛评分、分泌物评分、肉芽生长评分、愈合时间均较干预前明显下降,差异具有统计学意义(P < 0.05)。干预后,观察组疼痛评分、分泌物评分、肉芽生长评分、愈合时间均低于对照组,差异具有统计学意义(P < 0.05)。结论:肛周脓肿患者术后使用葫芦茶溶液换药能有效加快术后创面愈合,促进患者术后康复。
Abstract: Objective: To observe the effect of Zhuang Medicine Tadehagi triquetrum solution on postoperative wound healing in patients with perianal abscess. Methods: A total of 60 patients with postoperative perianal abscess were selected and divided into a control group and an observation group using a random number table method, with 30 cases in each group. The control group received routine dressing change after surgery, while the observation group was treated with Tadehagi triquetrum solution for dressing change. Both groups were treated with a 5-day course for two consecutive courses. The pain degree, wound secretion, granulation tissue growth, and wound healing time were compared between the two groups before and after intervention. Results: After intervention, the scores of pain, wound secretion, granulation tissue growth, and wound healing time in both groups were significantly decreased compared with those before intervention, and the differences were statistically significant (P < 0.05). After intervention, the pain score, wound secretion score, granulation tissue growth score, and wound healing time in the observation group were significantly lower than those in the control group, and the differences were statistically significant (P < 0.05). Conclusion: The application of Tadehagi triquetrum solution for dressing change in patients with perianal abscess after surgery can effectively accelerate postoperative wound healing and promote postoperative rehabilitation.
文章引用:李可, 柏志玉, 黄晓燕, 李叶文. 壮药葫芦茶对肛周脓肿术后创面愈合的临床观察[J]. 临床医学进展, 2026, 16(9): 2349-2355. https://doi.org/10.12677/acm.2026.1693278

参考文献

[1] 王小婉, 张婼涵, 高金龙, 等. 青枝方对肛周脓肿术后创面愈合及炎性因子的影响[J]. 中国中医急症, 2024, 33(11): 2007-2010.
[2] Wang, J.J., Boonpongmanee, I. and Ailabouni, L.D. (2023) Incision and Drainage: Perianal Abscess. Diseases of the Colon & Rectum, 67, e246-e247.
https://doi.org/10.1097/dcr.0000000000002949
[3] 李育楠, 李峥. 人文关爱联合舒适护理模式对人类免疫缺陷病毒阳性合并肛周疾病患者生活质量及心理健康影响[J]. 山西医药杂志, 2023, 52(18): 1424-1429.
[4] 金乐, 王裕贤. 中医外治法用于肛周脓肿术后疼痛及创面愈合的研究进展[J]. 中国肛肠病杂志, 2026, 46(1): 76-78.
[5] 柏志玉, 伍琴琴, 李杰辉, 等. 壮药葫芦茶溶液在体表脓肿术后伤口护理中的应用效果[J]. 护士进修杂志, 2020, 35(19): 1807-1810.
[6] 柏志玉, 伍琴琴, 李杰辉, 等. 葫芦茶药理和临床研究现状及展望[J]. 光明中医, 2021, 36(9): 1532-1535.
[7] 中国医师协会肛肠医师分会指南工作委员会. 肛周脓肿临床诊治中国专家共识[J]. 中华胃肠外科杂志, 2018, 21(4): 456-457.
[8] 张燕生, 韩宝, 田振国. 中医肛肠科常见病诊疗指南[M]. 北京: 中国中医药出版社, 2012.
[9] 李广宇. 疼痛程度评估: 视觉模拟评分法[N]. 医药经济报, 2011-08-22(D03).
[10] 李振宇, 刘建乔, 芦煜, 等. 清化肛宁汤联合置管冲洗引流对肛周脓肿患者创面愈合、创面分泌物及氧化应激的影响[J]. 中国临床医生杂志, 2024, 52(6): 741-744.
[11] 伍琴琴, 柏志玉, 沈家英, 等. 壮药葫芦茶溶液在甲沟炎患者术后伤口的疗效观察及护理[J]. 当代护士(中旬刊), 2021, 28(14): 139-141.
[12] 陈丹, 吴先哲, 冼柏青, 等. 体重指数与肛周脓肿的病因学关系及其炎症相关机制探讨[J]. 中国肛肠病杂志, 2022, 42(6): 17-19.
[13] 刘晓博, 屈海涛, 韩海涛, 等. 疮愈安对热毒炽盛型低位肛周脓肿术后创面愈合的影响[J]. 中医学报, 2024, 39(12): 2685-2690.
[14] 张新春, 刘佃温, 杨会举, 等. 疮愈膏外敷促进湿热蕴结证肛周脓肿术后创面愈合临床研究[J]. 新中医, 2024, 56(18): 88-92.
[15] 薛薇, 零伟德, 毛菊华. 壮药葫芦茶研究进展[J]. 广西中医药, 2017, 40(5): 64-67.