| Objective: To observe the promoting wound healing and improving postoperative symptoms curative effect and safety of ionto-phoresis with zhitongrushen in the treatment of patients with anal fistula with damp invasion of lower energizer,so as to provide clinical reference for the promotion and application of the scheme.Methods: 90 cases of patients with damp invasion of lower energizer anal fistula after operation were randomly divided into three groups.The three groups received the same basic treatment.The treatment group was treated with ionto-phoresis with Zhitongrushentang,the control group I was treated with ionto-phoresis with Kushentang,and the control group II was not given special treatment.The pain sensation,defecation,wound drainage and granulation tissue morphology of the patients were observed on day 2d,9d and 16 d after surgery.The wound area was recorded on day 9d,16 d and23d after surgery and the wound healing rate was calculated.After discharge,patients were followed up for wound healing time,and 23 d was used to evaluate the overall efficacy.At the same time,observe the adverse reactions in the study,timely treatment,and finally evaluate its safety.Results: Among the 90 patients selected,4 patients fell off,and there was no significant difference in the general data of the three groups(p> 0.05).The overall significant efficiencies of the three groups after 23 days were:96.55%,89.29%,72.41%.Compared with the efficacy of the three groups after 23 days,the control group I was better than the control group II(p<0.05),and the treatment group was significantly better than the control group II(P<0.01),there was no statistical significance between the treatment group and the control group I(p> 0.05).9 days and 16 days after operation,the control group I was better than the control group II(p <0.05)in improving defecation,wound exudate,granulation morphology andshortening wound healing time,and the treatment group was significantly better than the control group II(p<0.01).There was no statistically significant difference between the treatment group and the control group I(p> 0.05);9d and 16 d after operation,the treatment group was better than the control group I(p <0.05)and significantly better than the control group II(p <0.05).0.01),the control group I is better than the control group II(p<0.05);16 days and 23 days after surgery,the treatment group is better than the control group I(p <0.05)and significantly better than the control group II(p <0.05)<0.01),the control group I was better than the control group II(p <0.05).No serious adverse reactions occurred during the test.Conclusion: Ionto-phoresis with Zhitongrushentang in the treatment of patients who have anal fistula with damp invasion of lower energizer after the operation is positive,which can promote wound healing and improve the common postoperative symptoms,improve the postoperative quality of life of patients,and is worthy of further clinical promotion. |
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