复方荆芥熏洗剂辅助外剥内扎术治疗混合痔临床研究

Clinical Study on Compound Schizonepetae Herba Fumigation Agent in Assisting External Stripping and Internal Ligation for Mixed Hemorrhoids

目的:观察复方荆芥熏洗剂辅助外剥内扎术治疗混合痔的临床疗效。方法:选取80例混合痔患者,按随机数字表法分为对照组与观察组各40例。2组均行外剥内扎术治疗,术后给予消炎、镇痛药物等常规治疗,术后第2天开始,对照组加用高锰酸钾溶液坐浴治疗,观察组加用复方荆芥熏洗剂熏蒸后坐浴治疗,2组均治疗2周。比较2组临床疗效、创面愈合时间及水肿消退时间,以及术后第2天、治疗2周的症状评分。结果:治疗2周,观察组临床疗效总有效率100%,高于对照组90.00%(P<0.05)。2组水肿、疼痛、渗出评分均较术后第2天降低,观察组水肿、疼痛、渗出评分均低于对照组,差异均有统计学意义(P<0.05)。观察组创面愈合、水肿消退时间均短于对照组,差异均有统计学意义(P<0.05)。结论:复方荆芥熏洗剂辅助外剥内扎术治疗混合痔,能够有效减轻患者术后疼痛、渗出等症状,加快水肿消退,促进创面愈合。

Objective:To observe the clinical effect of the application of Compound Schizonepetae Herba Fumigation Agent in assisting external stripping and internal ligation for mixed hemorrhoids.Methods:A total of 80 patients with mixed hemorrhoids were selected and divided into the control group and the observation group according to random number table method,with 40 cases in each group.Both groups were treated with external stripping and internal ligation,and were treated with anti-inflammatory and analgesic drugs after operation.On the basis of the above treatment,the control group was additionally given sit-bath treatment with Potassium Permanganate Solution from the second day after operation,and the observation group was additionally given sit-bath treatment after the fumigation with Compound Schizonepetae Herba Fumigation Agent,both groups were treated for 2 weeks.The clinical effects,wound healing time,edema subsiding time,and the symptom scores on the second day after operation and 2 weeks after treatment were compared between the two groups.Results:After 2 weeks of treatment,the total effective rate was 100% in the observation group,higher than that of 90.00% in the control group(P<0.05).The scores of edema,pain and exudation in the two groups were decreased when compared with those on the second day after operation,and the above symptom scores in the observation group were lower than those in the control group,differences being significant(P<0.05).The wound healing time and edema subsiding time in the observation group were shorter than those in the control group,differences being significant(P<0.05).Conclusion:The application of Compound Schizonepetae Herba Fumigation Agent in assisting external stripping and internal ligation for mixed hemorrhoids can reduce postoperative pain,exudation and other symptoms,and shorten the wound healing time and edema subsiding time.