加味五味消毒饮改变肛瘘病术后创口微环境PH值临床疗效观察

Clinical Observation of Modified Wuwei Disinfecting Drink on Changing the PH Value of Wound Microenvironment after Anal Fistula Operation

摘要: 目的：探讨加味五味消毒饮改善肛瘘术后创口微环境PH的疗效观察。方法：选取台州市黄岩区中医院肛瘘术后患者60例，随机分为两组各30例。对照组患者给高锰酸钾液(1:5000)对肛门进行坐浴熏洗，观察组给加味五味消毒饮进行坐浴熏洗，两组患者均持续治21 d。结果：经过治疗后，创面愈合总有效率均为100%，观察组与对照组比较差异无统计学意义(p > 0.05) 。术后第７天、第14天、第21天两组患者创面PH值均降低，观察组PH值较对照组显著降低(p < 0.05)。术后第７天、第14天、第21天两组患者创面愈合率均上升，观察组创面愈合率显著高于对照组(p < 0.05)。结论：加味五味消毒饮坐浴熏洗可降低肛瘘病术后创口微环境PH值，促进创口愈合，且安全性较高，值得在临床上推广应用。

Abstract: Objective: To investigate the curative effect of Jiawei Wuwei Xiaoduyin on improving the PH of wound microenvironment after anal fistula surgery. Methods: A total of 60 patients with anal fistula in Huangyan District Hospital of Taizhou City were selected and randomly divided into two groups with 30 cases in each group. The patients in the control group were given potassium permanganate solution (1:5000) for sitz bath fumigation and washing of the anus, and the observation group was given sitz bath fumigation and fumigation with the flavored Wuwei disinfectant drink. The patients in both groups were treated continuously for 21 days. Results: After treatment, the total effective rate of wound healing was 100%, and there was no significant difference between the observation group and the control group (p > 0.05). On the 7th, 14th, and 21st days after operation, the PH value of the wounds of the two groups of patients decreased, and the PH value of the observation group was significantly lower than that of the control group (p < 0.05). On the 7th, 14th, and 21st days after operation, the wound healing rate of the two groups increased, and the wound healing rate of the observation group was significantly higher than that of the control group (p < 0.05). Conclusion: Modified Wuwei Disinfecting Drink can reduce anal fistula. The PH value of the wound microenvironment after the disease can promote wound healing. And the safety is high, it is worthy of clinical application.