混合痔手术后应用中药坐浴对减轻疼痛及促进创面愈合的作用

Mixed Hemorrhoid Surgery Application of Herbal Bath to Relieve Pain and Promote Wound Healing

目的探讨中药坐浴用于混合痔手术后的效果。方法按照随机数字表法,将上海市杨浦区中医医院2016年7月—2017年6月收治的80例混合痔术后患者分为对照组和观察组,每组各40例。入选对象均符合手术治疗指征并行手术治疗。对照组术后采用中药熏洗,观察组术后采用中药坐浴。采用视觉模拟法(VAS)评价两组患者术后1 d、7 d时疼痛程度,记录两组患者术后创面愈合时间、创面水肿和肉芽生长情况,评价两组的临床疗效。结果两组患者术后1 d时VAS评分比较,差异无统计学意义,P>0.05;术后7 d时VAS评分比较,差异有统计学意义,P<0.05;观察组术后创面愈合时间为(10.22±2.48)d,明显短于对照组的(15.36±3.41)d,差异有统计学意义,P<0.05;观察组术后创面水肿发生率明显低于对照组,创面肉芽生长良好率明显高于对照组,差异有统计学意义,P<0.05。观察组临床治疗有效率明显高于对照组,差异有统计学意义,P<0.05。结论混合痔术后采用中药坐浴的效果较中药熏洗效果显著,因此,值得临床推广应用。

OBJECTIVE To explore the effect of traditional Chinese medicine bath for mixed hemorrhoid operation. METHODS 80 pa-tients with mixed hemorrhoids were treated in target hospital from July 2016 to June 2017 were divided into control group and obser-vation group according to random number table method, 40 cases in each group. The selected objects were in line with the indicationsfor surgical treatment, concurrent surgical treatment; postoperative control group fumigation with traditional Chinese medicine; observa-tion group after taking traditional Chinese medicine bath. Visual acuity（VAS）was used to evaluate the degree of pain at 1 and 7 daysafter operation. The wound healing time was recorded in both groups. The edema and granulation growth of the two groups were re-corded. Evaluate the two groups curative effect. RESULTS The VAS scores of the two groups at 1 day after operation were compared,P〈0.05; VAS scores at 7 days after operation were compared, P〈0.05; wound healing time in the observation group was（10.22±2.48） days, which was significantly shorter than that in the control group（15.36±3.41） d, P〈0.05. The incidence of postoperativewound edema in the observation group was significantly lower than that in the control group. The good growth rate of granulation inthe wound surface was significantly higher than that in the control group（P〈0.05）. Clinical observation group effective rate was signifi-cantly higher than the control group, P〈0.05. CONCLUSION Mixed hemorrhoid surgery using traditional Chinese medicine bathingeffect than traditional Chinese fumigation significant, which was worth promoting.