中药熏洗坐浴改善肛肠科常规术后疼痛水肿的观察

Observation on Improving Anorectal Routine Postoperative Pain and Edema with Traditional Chinese Medicine Fumigating and Washing

目的：探究中药熏洗坐浴改善肛肠科常规术后疼痛水肿的效果。方法：选取2013年3月至2014年12月来我院就诊的肛肠科手术的患者128例,并随机分为对照组和观察组,每组64例。2组患者均给予静脉滴注抗生素。对照组患者使用高锰酸钾坐浴,早晚各1次,每次20 min,连续坐浴3 d为一个疗程。观察组患者使用消痛止痛中药,早晚各1次。熏洗坐浴20 min,每次熏洗结束均用垫付棉球消毒,用药期间禁食辛辣刺激类食物,防止上火引起大便干燥。并对2组患者进行满意度调查,利用视觉模拟评分法（VAS）指数对患者的疼痛进行评分,对患者的水肿进行评分,统计和分析2组患者发生术后并发症的情况并对临床疗效进行判定。结果：治疗前,2组患者的疼痛和水肿程度差异无统计学意义（P〉0.05）。治疗1~2疗程后,2组患者的疼痛和水肿程度均显著降低,但观察组的指数明显低于同期的对照组,差异有统计学意义（P〈0.05）。观察组患者中出现疼痛、水肿、出血、灼烧和瘙痒的人数明显低于对照组,差异有统计学意义（P〈0.05）。观察组治疗后的总有效率明显高于对照组,差异有统计学意义（P〈0.05）。结论：肛肠疾病手术的患者采用中药熏洗坐浴,可以明显改善疼痛和水肿的状况,降低不良反应的发生率,提高治疗的总有效率。

Objective：To explore the effect of the traditional Chinese medicine fumigating and washing on improving anorectal routine postoperative pain and edema. Methods：From Mar 2013 to Dec 2014,126 cases of anorectal surgery patients were randomly divided into the observation group and the control group. Two groups of patients were given intravenous injection of antibiotics. The control group was treated with Potassium Permanganate bath, sooner or later each time, each time 20 min, continuous bath for 3 days for a course of treatment. The observation group was treated with the use of pain relief, Chinese medicine, sooner or later each time. Fumigation sitz bath for 20 min, each fumigation end in advance disinfection tampons and medication during fasting spicy stimulation food,to prevent the fire caused by dry stool. Satisfaction survey,visual analogue scale （VAS） was used,edema score, postoperative complications and clinical efficacy was analyzed. Results：Before treatment, there was no difference between the two groups of patients with pain and edema （P〉0.05） . After treatment with 1-2, the pain and edema of the two groups significantly decreased, but the observation group was significantly lower than that in the control group （P〈0.05） . Observation group patients appeared pain, edema, hemorrhage, the number of burning and itching was significantly lower than that in the control group （P〈0.05） . The total effective rate in the observation group was significantly higher than that in the control group （P〈0.05） . Conclusion：Anorectal diseases surgery patients using traditional Chinese medicine fumigating and washing, can significantly improve pain and edema,reduce the incidence rate of adverse reactions,improve the treatment efficiency.