大黄苦柏汤坐浴防治混合痔术后并发症的疗效

Efficacies of Sitz Bath with Dahuang Kubai Decoction for Preventing ＆ Treating Postoperative Complication of Mixed Hemorrhoids

为探讨大黄苦柏汤坐浴防治混合痔术后并发症的疗效，本研究将200例混合痔术后患者随机分为对照组和治疗组，各100例。在常规治疗的基础上，治疗组用大黄苦柏汤坐浴，对照组用1：5000高锰酸钾溶液坐浴，观察两组术后水肿、疼痛、出血、瘙痒、刨口愈合时间等情况。结果显示，治疗组总有效率明显高于对照组，P〈0．05；术后疼痛、水肿、出血、瘙痒及分泌物等并发症发生率均明显低于对照组，P〈0．05；创口愈合时间明显短于对照组，P〈0．05。结果表明，混合痔术后应用大黄苦柏汤坐浴能显著改善局部血液循环，减少术后水肿、疼痛、出血、瘙痒、分泌物等并发症的发生，促进创口愈合。

In order to investigate the efficacies of sitz bath with Dahuang Kubai decoction（a traditional Chi- nese medicine formula） for preventing ＆ treating postoperative complication of mixed hemorrhoids,in this study 200 patients with mixed hemorrhoids were randomly divided into treatment group and control group, 100 cases per group. Based on routine treatment, treatment group adopted sitz bath with Dahuang Kubai Decoction,control group received sitz bath with 1 ： 5 000 PP solution,then the postoperative edema,pain, bleeding,pruritus and healing time of wound,ete of both groups were observed. As results,the total effec- tive rate of treatment group was significantly higher than that of control group（ P d0.05） ,the postoperative complications such as pain, edema, bleeding, pruritus and secretion, etc of treatment group were significantly lower than that of control group （ P 〈0.05）, the healing time of wound in treatment group was greatly shorter than that in control group （ P 〈 0.05）. Results show that after the operation for mixed hemorrhoids sitz bath with Dahuang Kubai decoction can greatly improve local blood circulation,reduce incidence of postoperative edema, pain, bleeding, pruritus and secretion, ete complications, promote healing of wound.