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The Clinical Reserch Of Baijie Powder's Function Of Promoting Anal Fistula Of Postoperative Wound Healing

Posted on:2017-04-04Degree:MasterType:Thesis
Country:ChinaCandidate:X S MeiFull Text:PDF
GTID:2334330485956550Subject:Chinese traditional surgery
Abstract/Summary:PDF Full Text Request
Objective The incidence of anal fistula in the anorectal diseases account for a considerable part of proportion,surgery is the main treatment of anal fistula,postoperative wound pain,wound healing,however slow and secretions more complications such as the serious influence the patient's quality of life.This topic mainly by local external use Baijie Powder's scattered observe its clinical curative effect of anal fistula postoperative wounds.Article with vaseline gauze and conventional treatment comparison,observation of white dragon's scattered anal fistula postoperative wound pain,the size of the wound area,vascular endothelial growth factor(VEGF) is generated and proliferating cell nucleus antigen(PCNA) expression in the wound granulation tissue characteristics.To search for the Baijie Powder 's scattered promote anal fistula postoperative wound healing mechanism were discussed,for the Baijie Powder 's further promotion and application in clinic,scattered provide reliable scientific basis.Methods Selected from January 2014 to October 2014 in our hospital into standard of 60 patients with hospital surgery,will be randomly divided into 2 groups,the treatment group(30 cases) and control group(30 cases),operation method of the conventional simple anal fistula resection is adopted,the second day after treatment,the treatment group(Baijie Powder s scattered group) :clean dressing and Baijie Powder 's scattered with 2g/cm2 dose evenly on vaseline gauze strip,filling the incision,sterile dressings external treatment; Blank control group:clean dressing and vaseline tamponade incision,sterile dressings gels. By observing the postoperative pain,wound area size,wound healing rate, wound healing time,wound granulation tissue growth situation,the content of VEGF and PCNA in sorting data for the statistical processing and analysis, and finally evaluate its safety.Results All cases in accordance with the "standard of disease diagnosis curative effect of traditional Chinese medicine" in the efficacy evaluation criteria,two groups of patients after surgery,the relief of wound pain(P < 0.05),shorten the healing time(P <0.05),the expression of VEGF and PCNA in wound granulation(P < 0.01),and other aspects of comparison,the difference is statistically significant.Conclusion Baijie Powder's spread to promote low anal fistula postoperative wound healing clinical curative effect,can reduce postoperative pain patients,shorten the wound healing time,improve wound healing rate,increase the wound granulation tissue VEGF expression,increase the content of PCNA.White bandage exhaust and curative effect of safe,convenient and simple,economical and practical,easily accepted by patients,can effectively reduce the patients' pain,improve the quality of life.Fully embodies the advantages and characteristics of TCM therapy,clinical worth extending.
Keywords/Search Tags:Baijie Powder, Postoperative anal fistula, Wound healing, VEGF, PCNA
PDF Full Text Request
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