摘要
目的:探究消肿止痛洗剂联合肛泰栓对混合痔术后肛门肿痛及创面愈合的疗效。方法:选取2021年10月—2022年10月就诊于安徽中医药大学附属太和中医院肛肠科的70例混合痔患者为研究对象。使用随机数表法将患者分为观察组和对照组,各35例。观察组予消肿止痛洗剂熏洗坐浴联合肛泰栓治疗,对照组予温开水熏洗坐浴联合肛泰栓治疗。比较两组术后不同时间点的疼痛、水肿、排便、出血评分及创面愈合时间,并进行疗效比较。结果:术后3 d、5 d、7 d,两组疼痛评分均低于术后1 d,且观察组低于对照组,差异有统计学意义(P<0.05)。术后3 d、5 d、7 d,两组水肿、排便、出血评分均低于术后2 d,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组的创面愈合时间为(22.66±2.45)d,明显短于对照组的(26.14±3.15)d,差异有统计学意义(P<0.05)。观察组的治疗总有效率为94.29%,明显高于对照组的71.43%,差异有统计学意义(P<0.05)。结论:消肿止痛洗剂联合肛泰栓应用于混合痔术后,能缓解患者术后疼痛、水肿、排便困难、出血等并发症状,缩短创面愈合时间。
Objective:To explore the therapeutic effect of Xiaozhong Zhitong Lotion combined with Anal Suppository on postoperative anal swelling,pain,and wound healing in patients with mixed hemorrhoids.Method:A total of 70 patients with mixed hemorrhoids who were treated in the Anorectal Department of Taihe Hospital of Traditional Chinese Medicine Affiliated to Anhui University of Chinese Medicine from October 2021 to October 2022 were selected as study objects.They were divide into observation group and control group using random number grouping method,with 35 cases in each group.The observation group was treated with Xiaozhong Zhitong Lotion fumigation and sitz bath combined with Anal Suppository,while the control group was treated with warm water fumigation and sitz bath combined with Anal Suppository.The postoperative pain,edema,defecation,bleeding score at different postoperative time points,and wound healing time between the two groups were compared,and compared the therapeutic effects.Result:At 3 d,5 d,7 d after surgery,the pain scores of both groups were lower than those at 1 d after surgery,and the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).At 3 d,5 d,7 d after surgery,the scores of edema,defecation and bleeding in both groups were lower than those at 2 d after surgery,and the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The wound healing time of the observation group was(22.66±2.45)d,significantly shorter than(26.14±3.15)d of the control group,the difference was statistically significant(P<0.05).The total effective rate of treatment in the observation group was 94.29%,significantly higher than 71.43%in the control group,the difference was statistically significant(P<0.05).Conclusion:The combination of Xiaozhong Zhitong Lotion and Anal Suppository can alleviate postoperative pain,edema,difficulty in defecation,bleeding and other symptoms in patients with mixed hemorrhoids,and shorten the wound healing time.
作者
卞淑洁
徐雨琪
田永森
张雷
李文
BIAN Shujie;XU Yuqi;TIAN Yongsen;ZHANG Lei;LI Wen(Taihe Hospital of Traditional Chinese Medicine Affiliated to Anhui University of Chinese Medicine,Taihe 236600,China;不详)
出处
《中外医学研究》
2023年第21期13-17,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
2021年度安徽中医药大学临床科研项目一般项目(2021LCTH41)。
关键词
混合痔术后
中药
熏洗坐浴
肛泰栓
Mixed hemorrhoids after surgery
Traditional Chinese medicine
Fumigation and sitz bath
Anal Suppository
