肛瘘术后创面愈合的中医外治法的研究进展
摘要
肛瘘是肛肠科的常见病、多发病,肛瘘占肛肠病的发病率,国内统计为1.67%～2.6%,主要见于男性,男女比例为5:1~([1-3])。目前,手术为肛瘘的主要治疗方式,但手术易造成肛门正常结构破坏,术后疼痛、渗出等情况为术后常见并发症~([4-5])。肛瘘手术易造成肛门开放性创伤,术后创面愈合的质量在肛瘘治疗中占重要地位,如何提升肛瘘术后创面的愈合的质量,是全国肛肠科医师迫切解决的问题,而术后的正确用药对肛瘘术后创面的愈合起关键作用。
引文
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[24]赵永娇,何颖华,智建文.中医祛腐生肌法换药促进肛周脓肿、肛瘘术后患者创面愈合的临床观察田[J].北京中医药,2011,20(03):203-204.
[25]冯文哲,朱银香.煨脓长肉法治疗肛瘘术后创面64例疗效观察[J].新中医,2011,35(02):184-185.
[26]杨云,葛志明,赵红波,等.中药药线对口引流法治疗复杂性肛瘘的临床研究[J].宁夏医学杂志,2014,36(08):751-753.
[2]夏泽华,张雅明,沈菲菲.自拟促愈汤对湿热下注型低位肛瘘术后止痛促愈作用[J].长春中医药大学学报,2016,32(02):350-351.
[3]赵学理,春燕,杨伟朋,等.丹卿方熏洗坐浴治疗混合痔术后并发症的临床研究[J].中国中医急症,2016,25(05):886-888.
[4]Vogel J D,Johnson E K,Morris A M,et al.Clinical practice guideline for the management of anorectal abscess,fistula-inAno,and rectovaginal fistula[J].Diseases of the Colon and Rectum,2016,59(12):1117-1133.
[5]Molcndijk I,Bonsing B A,Roclofs H,et al.Allogeneic bone marrow-derived mesenchymal stromal cells promote healing of refractory perianal fistulas in patients with crohn's disease[J].Gastroenterology,2015,149(04):918-927.
[6]石丽,沙喜,张少军,等.月白散促进肛瘘术后创面愈合临床对照研究[J].吉林中医药,2018,38(01):38-40.
[7]汪机.外科理例[M].北京:人民卫生出版社,1963:24.
[8]郑春菊.搔刮祛腐法对高位后蹄铁形肛瘘术后创面影响的临床研究[D].南京:南京中医药大学,2014.
[9]任东林.复杂性肛瘘诊治中需要注意的几个关键问题[J].中华胃肠外科杂志,2015,18(12):1186-1192.
[10]AGGARWAL V,DHINGRA R,SINGH G,et al.Surgical management and therapeutic prospectus of anal fistula:a review[J].Int Surg J,2015,02(02):125-129.
[11]HinmanCD,Maibach H.Effect of air exposure and occlusion on experimental human skin wounds[J].Nature,1963,200:377.
[12]Sten berg BD,Phillips LG,Hokanson JA,et al.Effcet of the inhibition of contraction caused by bacteria[J].surg Res,1991,50(01):47.
[13]Jonsson K,Jensen J A,Goodson W H,et al.Tissue oxygenstion.anemia and perfusion in relation to wound healing in surgical patients[J].Ann Surg,1991,214(05):605.
[14]王慧敏,赵宝林.荆黄熏洗液促进肛瘘术后创面愈合的临床观察[J].世界中西医结合杂志,2015,10(04):552-554.
[15]蔡兰兰.祛腐生肌汤熏洗外敷促进肛瘘术后创面愈合45例临床观察[J].中国民族民间医药,2017,27(13):93-95.
[16]盛尹菁.敛痔散外敷促进低位单纯性肛瘘术后创面愈合疗效观察[J].现代中西医结合杂志,2017,26(10):1098-1100.
[17]石丽,等.月白散促进肛瘘术后创面愈合临床对照研究[J].吉林中药,2018,38(01):38-41.
[18]吴兆清,等.复方紫蕈生肌膏促进肛瘘术后创口愈合的临床观察及护理[J].内蒙古中医药,2017,(02):96-97.
[19]孔婕.黄芩油膏纱条用于肛屡术后换药的疗效观察[J].中外医学究,2014,12(13):42-43.
[20]Nevitt GJ,Hutchinson PE.Psoriasis in the community:prevalence,severity and patients'beliefs and attitudes towards the disease[J].Br J Dermatol,1996,135(04):533-537.
[21]Kmeger GG,Duvie M.Epidemiology of psoriasis:clinical issues[J].Invest Dermat,1994,102:14S-18S.
[22]兰斌,王军省.仙方活命饮箍围疗法用于肛周脓肿术后换药的疗效观察[D].乌鲁木齐:新疆医科大学,2018.
[23]杨云,赵红波,葛志明,等.中药药线对口引流法在复杂性肛瘘术后创面愈合观察[J].宁夏医学杂志,2013,35(10):708-710.
[24]赵永娇,何颖华,智建文.中医祛腐生肌法换药促进肛周脓肿、肛瘘术后患者创面愈合的临床观察田[J].北京中医药,2011,20(03):203-204.
[25]冯文哲,朱银香.煨脓长肉法治疗肛瘘术后创面64例疗效观察[J].新中医,2011,35(02):184-185.
[26]杨云,葛志明,赵红波,等.中药药线对口引流法治疗复杂性肛瘘的临床研究[J].宁夏医学杂志,2014,36(08):751-753.