复方荆芥熏洗剂治疗肛肠病术后患者局部症状的临床效果

Clinical effect of compound Jingjie fumigation and washing therapy on local symptoms in patients after anorectal surgery

目的 探讨复方荆芥熏洗剂治疗肛肠病术后患者局部症状的临床效果。方法 选择 2015年 7月至2016年7月在山东省东营市人民医院手术治疗的混合痔患者353例。根据随机数字表法，将所有患者分为观察组（177例）和对照组（176例）。2组患者术后均接受常规治疗，在此基础上，对照组采用0.02%高锰酸钾溶液治疗，观察组采用复方荆芥熏洗剂治疗，2组均治疗3周。比较2组患者术后治疗前和治疗3、5、9、15 d后创面水肿评分、疼痛评分、创面愈合时间和总有效率。结果 治疗前，观察组创面水肿评分与对照组比较，差异无统计学意义（P＞0.05）。治疗3、5、9、15 d后，观察组创面水肿评分均低于对照组［（2.32±0.28）分比（2.41±0.19）分、（1.48±0.22）分比（1.73±0.10）分、（0.33±0.09）分比（0.49±0.07）分、（0.10±0.03）分比（0.13±0.03）分］，差异均有统计学意义（均P＜0.05）。治疗前，观察组疼痛视觉模拟量表（VAS）评分与对照组比较，差异无统计学意义（P＞0.05）。治疗3、5、9、15 d后，观察组VAS评分均低于对照组［（5.79±1.21）分比（7.21±1.09）分、（4.35±0.92）分比（5.93±0.88）分、（2.63±0.47）分比（3.76±0.95）分、（1.08±0.12）分比（1.93±0.27）分］，差异均有统计学意义（均P＜0.05）。观察组创面愈合时间短于对照组［（25.3±2.3）d 比（29.7±3.1）d］,差异有统计学意义（P＜0.05）。观察组总有效率高于对照组［93.2%（165/177）比82.4%（145/176）］，差异有统计学意义（P＜0.05）。结论 复方荆芥熏洗剂在治疗肛肠病术后患者创面水肿、缓解肛门疼痛、促进创面愈合等方面具有较好效果。

Objective To explore the clinical effect of compound Jingjie fumigation and washing therapy on local symptoms in treatment of patients after anorectal surgery. Methods Totally 353 patients who had surgical treatment for mixed hemorrhoid from July 2015 to July 2016 in Dongying People′s Hospital were randomly divided into observation group （177 cases） and control group （176 cases）. Both groups received conventional treatments after operation; the control group had 0.02% potassium permanganate solution washing therapy; the observation group had compound Jingjie fumigation and washing therapy; all treatments lasted for 3 weeks. Wound edema score, rectal pain score, healing time and total efficacy were analyzed. Results The wound edema score had no significant difference between groups before treatment（P〉0.05）; the scores at 3, 5, 9, 15 d after treatment in observation group were significantly lower than those in control group[（2.32±0.28） points vs （2.41±0.19）points, （1.48±0.22）points vs （1.73±0.10）points, （0.33±0.09）points vs （0.49±0.07）points, （0.10±0.03）points vs （0.13±0.03）points]（P〈0.05）. The score of Visual Analogue Scale（VAS） had no significant difference between groups before treatment（P〉0.05）; the VAS scores at 3, 5, 9, 15 d after treatment in observation group were significantly lower than those in control group[（5.79±1.21）points vs （7.21±1.09）points, （4.35±0.92）points vs （5.93±0.88）points, （2.63±0.47）points vs （3.76±0.95）points,（1.08±0.12）points vs （1.93±0.27）points]（P〈0.05）. Wound healing time in observation group was shorter than that in observation group[（25.3±2.3）d vs （29.7±3.1）d]（P〈0.05）. The total effective rate in observation group was higher than that in control group[93.2%（165/177） vs 82.4%（145/176）]（P〈0.05）. Conclusion Compound Jingjie fumigation and washing therapy is effective in eliminating edema, relieving pain and promoting healing in patients after anorectal surgery.