| Objective:To observe the clinical efficacy of modified Wuweixiaoduyin on postoperative wound pain,wound secretion,wound edema,wound healing rate,wound healing time,and wound healing efficacy in patients with perianal abscess with flaming heat toxin.Methods:A total of 66 patients who met the inclusion criteria were collected from March 2021 to December 2021 and were admitted to the Second Anorectal Department of the Affiliated People’s Hospital of Fujian University of Traditional Chinese Medicine.They were randomly divided into a treatment group and a control group with 33 cases in each group.On the basis of treatment,both groups started treatment on the 1st day after surgery.The treatment group was treated with modified Wuweixiaoduyin for fumigation and hip bath,while the control group was treated with potassium permanganate solution for fumigation and hip bath.On the1 st,7th,14 th,and 21 st days afterwards,the difference in wound pain value,wound secretion,wound edema,wound healing rate,wound healing time,wound healing efficacy,and total curative effect score on the 21 st day after surgery.Record the obtained symptom scores truthfully in the observation table,and finally perform statistical analysis to draw conclusions.Results:There were no significant differences in age,gender,course of disease,and initial wound area between the two groups of cases,P>0.05,which was comparable.The clinical observation indicators of the two groups of cases,the efficacy and safety evaluation on the21 st day after surgery are summarized as follows:(1)Difference in wound pain value: The comparison of difference in wound pain between the two groups on the 1st,7th,and 14 th day after surgery showed statistically significant difference(P<0.05),indicating that the treatment group was significantly better than the control group in reducing wound pain.On the 21 st day after operation,the comparison of difference in wound pain between the two groups was P=0.234>0.05,and there was no statistical significance.(2)Wound secretion: There was no significant difference in wound secretion between the treatment group and the control group on the first day after surgery,P=0.450>0.05,indicating that there was no significant difference in wound secretion between the two groups before treatment.The comparison of difference in wound secretion between the two groups on the 7th,14 th,and 21 st day after surgery showed statistically significant difference(P<0.05),indicating that the treatment group was significantly better than the control group in reducing wound secretion.(3)Wound edema: There was no significant difference in wound edema between the treatment group and the control group before treatment and on the 21 th day after surgery,P>0.05,indicating that there was no significant difference in wound edema between the two groups before treatment.The comparison of difference in wound edema between the two groups on the 7th and 14 th day after surgery showed statistically significant difference(P<0.05),indicating that the treatment group was significantly better than the control group in alleviating anal edema.(4)Wound healing rate: The comparison of difference in wound healing rate between the two groups on the 7th,14 th,and 21 st day after surgery showed statistically significant difference(P<0.001),indicating that the treatment group was significantly better than the control group in increasing wound healing rate.(5)Wound healing time: The comparison of wound healing days between the two groups after operation,the treatment group averaged 28 days and the control group averaged 30 days,the difference was statistically significant(P=0.015<0.05).It shows that the treatment group can shorten the wound healing time.(6)Wound healing efficacy: The comparison of difference in wound healing efficacy between the two groups on the 21 st day after operation showed statistically significant difference(P=0.001<0.05),indicating that the treatment group was significantly better than the control group in wound healing efficacy.(7)Safety evaluation: The two groups of patients had complete long-term follow-up records during the treatment in the hospital and after discharge.All the patients in the two groups were treated according to the doctor’s orders,and all of them were cured.There were no obvious adverse reactions and side effects during the treatment.Conclusion:1.Modified Wuweixiaoduyin can significantly reduce the postoperative wound pain,reduce wound secretion,alleviate anal edema,increase wound healing rate,shorten wound healing time,,and improve the overall curative effect.2.Modified Wuweixiaoduyin has the clinical characteristics of reliable curative effect and high safety,and no obvious adverse reactions were found during the treatment. |
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