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红玉愈疮方联合负压引流对腹部术后切口脂肪液化患者的疗效
贾岩,许志远,李臣杰,孙宏燕,白金鑫
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华北理工大学附属医院中西医结合科唐山 063000;华北理工大学附属医院风湿免疫科唐山 063000;河北省唐山市丰南区中医医院脑病科唐山 063000;华北理工大学附属医院质量管理办公室唐山 063000
摘要:
目的:探讨红玉愈疮方联合负压引流对腹部术后切口脂肪液化患者的治疗效果。方法:选取2022年4月—2024年9月华北理工大学附属医院收治的100例腹部术后切口脂肪液化患者,按随机数字表法将其分为对照组(常规换药联合负压引流)和试验组(红玉愈疮方联合负压引流),每组50例。治疗时间均为14 d。比较两组伤口恢复情况(换药次数、住院时间、伤口愈合时间、渗液消失时间、新鲜肉芽形成时间、伤口与皮肤平整时间),治疗前后C反应蛋白(CRP)、白细胞介素-6(IL-6)、降钙素原(PCT)、白细胞计数(WBC)水平及并发症发生率。结果:试验组换药次数比对照组少[(14.28±2.47)次 vs (21.02±3.61)次,P <0.05],住院时间、伤口愈合时间、渗液消失时间、新鲜肉芽形成时间、伤口与皮肤平整时间均短于对照组(P <0.05)。治疗14 d后,两组血清CRP、IL-6、PCT、WBC水平均较治疗前降低,且试验组各指标低于对照组(P <0.05)。治疗期间,对照组并发症总发生率为22.00%(11/50),显著高于试验组的6.00%(3/50),差异有统计学意义(P <0.05)。结论:红玉愈疮方联合负压引流可显著改善腹部术后切口脂肪液化患者的临床疗效,能减少换药频率,缩短住院时间,加速伤口愈合、缓解疼痛,且安全性较高,其机制可能与减轻炎症反应、促进组织修复有关。
关键词:  腹部手术  切口脂肪液化  红玉愈疮方  负压引流
DOI:10.3969/j.issn.1007-6948.2026.01.017
投稿时间:2025-08-05
基金项目:河北省中医药管理局科研计划项目(2023335)
Efficacy of Hongyu Yuchuang formula combined with negative pressure drainage in patients with postoperative abdominal incisional fat liquefaction
JIA Yan,XU Zhi-yuan,LI Chen-jie
Abstract:
Objective To evaluate the therapeutic effect of Hongyu Yuchuang Formula combined with negative pressure drainage on patients with postoperative incisional fat liquefaction after abdominal surgery by assessing clinical efficacy. Methods A total of 100 patients with postoperative abdominal incisional fat liquefaction admitted to the Affiliated Hospital of North China University of Science and Technology from April 2022 to September 2024 were enrolled in this study. They were randomly divided into a control group (routine dressing change + negative pressure drainage, n=50) and an experimental group (Hongyu Yuchuang formula + negative pressure drainage, n=50). Treatment duration was 14 days. Outcomes included wound recovery (dressing change frequency, hospitalization duration, wound healing time, exudate disappearance time, fresh granulation formation time, wound-skin leveling time), C-reactive protein (CRP), interleukin-6 (IL-6), procalcitonin (PCT), white blood cell count (WBC) levels, and complication rates. Results Compared with the control group, the experimental group had fewer dressing changes (14.28±2.47 vs 21.02±3.61, P <0.05), as well as significantly shorter hospitalization duration, wound healing time, exudate disappearance time, fresh granulation formation time, and wound-skin leveling time (P <0.05). Post-treatment, CRP, IL-6, PCT, and WBC levels were lower in the experimental group (P <0.05). The complication rate was lower in the experimental group (6.00% vs 22.00%, P <0.05). Conclusion Hongyu Yuchuang formula combined with negative pressure drainage significantly improves clinical outcomes in patients with postoperative incisional fat liquefaction. This therapy reduces dressing frequency, shortens hospitalization, accelerates wound healing, alleviates pain, and demonstrates high safety. The mechanism may be related to reducing inflammatory responses and promoting tissue repair.
Key words:  Abdominal surgery  incisional fat liquefaction  Hongyu Yuchuang formula  negative pressure drainage

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