周强 张连杰 唐乙 胡卫敏 赵烨德 肖仕初

    [摘要]目的：探討应用虎杖水煎液治疗会阴部创面的疗效。方法：选取2019年1月-2021年1月笔者科室收治的44例易性症性别重置术后会阴部创面患者为研究对象，按抽签法随机分为实验组和对照组各22例。实验组给予虎杖水煎液换药治疗，对照组给予生理盐水换药治疗，换药后均采用支被架下暴露疗法。换药期间，观察比较两组患者的创面大小变化、创面分泌物附着时长、住院时长、创面愈合时间、换药疼痛感受情况、不良反应及二次手术情况。结果：实验组创面分泌物附着时间、住院时间及创面完全愈合时间均短于对照组，创面愈合效果优于对照组，换药疼痛程度整体轻于对照组，以上指标组间比较差异均有统计学意义(P<0.05)。实验组患者创面无湿疹样皮炎症状发生，所有患者均未进行二次手术；对照组有4例患者产生湿疹样皮炎症状，有3例患者进行了二次手术。结论：应用虎杖水煎液治疗会阴部创面，可加快愈合速度，减少创面分泌物附着时长，降低二次手术干预创面的可能性，缩短住院时间，是治疗会阴部创面简单、有效的方法，值得推广。

    [关键词]虎杖；会阴；创面修复；中药外洗液；暴露疗法

    [中图分类号]R622? ? [文献标志码]A? ? [文章编号]1008-6455(2023)08-0062-05

    Analysis of Curative Effect of Treating Perineal Wound with Polygonum Cuspidatum Decoction

    ZHOU Qiang1，ZHANG Lianjie1，TANG Yi1，HU Weimin1，ZHAO Yede1，XIAO Shichu2

    (1.Department of Plastic Surgery，Shanghai 411 Hospital，China Rongtong Medical Healthcare Group Co.Ltd，Shanghai 200081，China; 2.Department of Burns，the First Affiliated Hospital of the Naval Medical University of PLA，Shanghai 200433，China)

    Abstract： Objective? To explore the effect of Polygonum cuspidatum decoction in treating perineal wounds. Methods? A total of 44 patients with perineal wounds after gender reassignment for transsexualism admitted to the author's department from January 2019 to January 2021 were selected as the research objects. They were randomly divided into experimental group and control group by lottery method ......