中药熏洗对混合痔外剥内扎术后并发症的影响

Effect of Traditional Chinese Medicine Fumigation-washing Therapy for Postoperative Complications of External Dissection and Internal Ligation Operation of Mixed Hemorrhoids

目的:探讨中药熏洗对混合痔外剥内扎术后并发症的影响。方法:选取2011年6至2013年3月在我科住院的混合痔外剥内扎术术后患者100例,随机分为治疗组和对照组,各50例。对照组用温水熏洗,治疗组术后用中药熏洗。观察2组的临床疗效及主要症状消失时间。结果:治疗组总有效率为92.0%,对照组为78.0%,2组总有效率比较,差异有统计学意义(P<0.05)。治疗组水肿消失时间、疼痛消失时间及肛门下坠消失时间均较对照组缩短,差异有统计学意义(P<0.05)。而2组便血消失时间比较,差异无统计学意义(P>0.05)。结论:中药熏洗能有效地缓解疼痛,减轻创缘水肿等症状,促进创面愈合,缩短疗程,是一种安全、有效的治疗方法。

Objective：To explore the effect of traditional Chinese medicine fumigation-washing therapy for the postoperative complica-tions of external dissection and internal ligation operation of mixed hemorrhoids, nethods：A total of 100 cases that received dissection and internal ligation operation of mixed hemorrhoids from June 2011 to March 2013 in our department were randomly divided into treat-ment group and control group, each group containing 50 cases. The control group was treated with warm water fumigation-washing, while the treatment group were treated with traditional Chinese medicine fumigation-washing after surgery. The clinical efficacy and the main symptoms disappearing time of two groups were observed. Results： The total effective rate of treatment group was 92.0%, control group 78.0% ; the difference was statistically significant （P 〈 0.05 ）. The edema disappearing time, pain disappearing time anal straining dis-appearing time of the treatment group was earlier than those in the control group, the difference were statistically significant （ P 〈 0. 05 ）. There was no significant difference in hematochezia disappearing time between two groups （ P 〉 0.05 ）. Conclusion ： Traditional Chinese medicine fumigation-washing therapy can effectively relieve symptoms such as pain, margin and edema, promote wound healing, and shorten the course of treatment. It is a safe, effective method for postoperative complications of external dissection and internal ligation operation of mixed hemorrhoids.