| 摘要 |
[Objectives] To investigate the use of the classical Chinese medicine formula Sihu Powder modified decoction for postoperative fumigation and sitz bath in patients with perianal abscess, aiming to promote wound healing and reduce medical burden. [Methods] An observational cohort study was conducted, selecting 200 patients with perianal abscess who underwent surgery in Shenzhen Guangming District People’s Hospital. They were randomly divided into a treatment group and an observation group, with 100 cases in each group. Both groups followed the same surgical and antibiotic treatment principles. Starting from the first postoperative day, the treatment group received fumigation and sitz bath with modified Sihu Powder for decoction twice daily; the observation group used Compound Huangbai Liquid for fumigation and sitz bath twice daily. Indicators including pain score, wound secretion score, wound granulation tissue growth score, multidrug-resistant bacterial infection clearance rate, antibiotic usage days, and wound healing rate were observed in both groups 7, 14 and 21 d after operation. [Results] On postoperative day 7, the differences in postoperative pain score, wound secretions, and multidrug-resistant bacterial clearance rate between the treatment group and the observation group were statistically significant. On postoperative day 14, the differences between the two groups were significant in indicators including pain score, wound secretions, wound granulation tissue growth, multidrug-resistant bacterial clearance rate, and wound healing rate. On postoperative day 21, the difference in wound healing rate between the two groups was significant; furthermore, the antibiotic usage days in the treatment group were significantly fewer than those in the observation group. [Conclusions] Modified Sihu Powder for fumigation and washing can effectively alleviate postoperative pain in perianal abscess patients, inhibit the colonization and infection of multidrug-resistant bacteria at the wound site, accelerate wound healing, reduce antibiotic usage intensity and medical burden. It possesses advantages such as being economical, effective, safe, and easy to operate, making it worthy of clinical promotion. |
