Objective To investigate the influence of combination of Evodia rutaecarpa acupoint application and traditional Chinese medicine fumigation sitz bath on postoperative pain and wound healing in patients receiving perianal abscess surgery. Methods A retrospective analysis was conducted on the relevant data of 115 patients undergoing perianal abscess surgery in our hospital from July 2024 to December 2024. According to the treatment plans of the patients, they were divided into the control group (57 cases) and the observation group (58 cases). The control group received sitz baths with 1∶5000 potassium permanganate solution, while the observation group received sitz baths with Evodia rutaecarpa acupoint application combined with traditional Chinese medicine fumigation and washing. The postoperative wound secretion, wound granulation growth status, pain degree [numerical rating scale (NRS)], anal function (anal incontinence Wexner score system), serum inflammatory factors [procalcitonin (PCT), interleukin-6 (IL-6)] and wound healing status were compared between both groups. Results Compared with 1 day after surgery, the wound secretion score and wound granulation growth score in both groups were decreased at 7 days after surgery, and the scores in the observation group were lower (P<0.05). The pain NRS score and Wexner score in the two groups at 7 days after surgery were reduced compared with those before surgery, and the scores were lower in the observation group. The levels of serum PCT and IL-6 were declined in both groups at 7 days after surgery compared to 1 day after surgery, and the observation group had lower levels. The disappearance time of wound edema and wound healing time were shorter in the observation group than those in the control group. Conclusion Evodia rutaecarpa acupoint application combined with traditional Chinese medicine fumigation sitz bath can relieve the postoperative pain in patients with perianal abscess surgery, promote the granulation growth, reduce inflammatory response, and promote the anal function recovery.
Key words
perianal abscess /
evodia officinalis /
acupoint application /
fumigation of Chinese medicine therapy /
medicine pain /
granulation growth
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References
[1] 柳春生, 李积良, 王继宁. 肛痈促愈汤在促进肛周脓肿术后创面愈合的作用及对血管内皮因子的影响[J]. 中华中医药学刊, 2020, 38(12): 205-208.
[2] 吴士雄, 温丽辉, 刘满君, 等. 蛋黄油联合清热解毒汤外洗在肛周脓肿术后创面愈合中的应用[J]. 中国医科大学学报, 2024, 53(5): 446-450.
[3] 唐锦程, 李玉丽, 王莎莎, 等. 吴茱萸本草考证及药理作用研究进展[J]. 中草药, 2024, 55(16): 5723-5734.
[4] 王梦媛, 刘仍海, 洪燕秋, 等. 穴位贴敷疗法治疗混合痔术后疼痛疗效观察[J]. 现代中西医结合杂志, 2021, 30(16): 1766-1769.
[5] 魏天恩, 陈丹颖, 沈时栋. 养阴和血解毒方熏蒸坐浴用于肛瘘术后的研究[J]. 辽宁中医杂志, 2023, 50(8): 129-132.
[6] 宋顺心. 美国结直肠外科医师学会肛周脓肿、肛瘘和直肠阴道瘘临床诊治指南[J]. 中华胃肠外科杂志, 2017, 20(12): 1437-1439.
[7] 陈园桃. 中医病证诊疗常规[M]. 南京: 东南大学出版社, 2008: 132.
[8] 张硕秋, 钱海华, 张丹. 从中医情志理论角度分析加味通便汤对慢性便秘的心理障碍疗效[J]. 辽宁中医杂志, 2021, 48(3): 62-65.
[9] 张东铭, 王玉成. 盆底与肛门病学[M]. 贵阳: 贵州科技出版社, 2000: 243.
[10] 许建成, 师晨松, 张海深, 等. 痛痒消洗剂对肛周脓肿术后患者的临床疗效[J]. 中成药, 2023, 45(2): 439-443.
[11] 陶禹, 韩加刚, 王振军, 等. 肛瘘栓填塞治疗对经括约肌型肛瘘患者术后肛门功能的长期影响及相关因素分析[J]. 中华胃肠外科杂志, 2020, 23(8): 774-779.
[12] 于婧辉, 黄婷, 杨风利. 仙方活命饮加减联合肛周熏洗仪在肛痈术后治疗中的疗效观察[J]. 中国中西医结合急救杂志, 2022, 29(4): 487-490.
[13] 王强, 冯靖, 谭章勇, 等. 吴茱萸碱调节NF-κB通路对膝骨关节炎巨噬细胞极化的影响[J]. 华中科技大学学报 (医学版), 2024, 53(4): 444-451.
[14] 蔡梦如, 董晓旭, 朱荣玥, 等. 经典名方吴茱萸汤研究进展[J]. 中华中医药学刊, 2023, 41(1): 155-159.
[15] 杜沂岚, 陈林, 蔺小霞, 等. 中药塌渍联合熏洗治疗肛周脓肿术后并发症的疗效观察[J]. 成都医学院学报, 2022, 17(5): 574-577.
[16] 王跃成, 赵纪波, 信梦辰. 消痈汤熏洗合三间隙引流术对急性肛周脓肿疗效及血清IL-6, IL-8, IL-10及TNF-α水平的影响[J]. 中国中医急症, 2022, 31(2): 342-344.
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