复方黄柏液涂剂对低位肛瘘湿热下注证术后创面愈合的影响

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[关键词］低位肛瘘；湿热下注证；复方黄柏液涂剂；创面愈合率；视觉模拟评分法 [中图分类号］R266 [文献标志码］A [文章编号]0256-7415（2025）17-0051-04 DOI：10.13457/j.cnki.jncm.2025.17.009

Effect of Compound Huangboye Liniment on Postoperative Wound Healing of Low Anal Fistula with Downward Attack of Damp-Heat Syndrome

XUJiachun，YANG Wei DepartmentofProctology，ShuguangHospitalAfliatedtohanghaiUniversityofTraditioalChneseMedicine，Shanghai2O，Cha

Abstract：Objective：To observe the effet of Compound Huangboye Liniment on postoperative wound healing of lowanalfistula with downward attack of damp-heatsyndrome patients.Methods：Atotal of12Opatients with lowanal fistula with downward atack of damp-heatsyndrome who underwent anal fistulectomy in the Department of Proctology， Shuguang Hospital Afiliatedto Shanghai UniversityofTraditional Chinese Medicine，wereselected from March 2023to October 2O23，and were divided into 6Ocases each in the trial groupand thecontrol group according to the random number table method.During the experiment，two cases felloffin each group.Thecontrol group received Kangfuxin Liquid for postoperative wound dressng，and the trial group received Compound Huangboye Liniment forpostoperative wounddresing.The clinicaleficacyof thetwo groups was evaluated，andthe wound healingrate，wound painseverity， and wound itching scoreofthe two groups were compared.Results：Aftertherank sum test，the overall eficacyof the trial group was superior to that of the control group，the difference being significant （ P<0.05 ）. The wound healing rate of the trial group was higherthan that ofthe control group on the 28u postoperative day，the difference being significant （ P< 0.05）. On the 7th ， 14th ，and 21st ， postoperative days， the wound Visual Analogue Scale （VAS） score and wound itching score of the trial group were lower than those of the control group，diferences being significant （ P<0.05 ） Conclusion：Wet compress of Compound Huangboye Liniment for postoperative patients with low anal fistula with downward atack of damp-heat syndrome can improve the wound healing rate，relieve postoperative wound pain， wound itching，and enhance the clinical efficacy.

Keywords：Low anal fistula；Downward attack of damp-heat syndrome；Compound Huangboye Liniment; Wound healingrate；Visual Analogue Scale

肛瘘是指肛管或直肠因病理原因引起的与肛门周围皮肤之间形成的上皮化管道，是肛肠科的常见疾病之一，发病率男性多于女性。（剩余5187字）