不同坐浴时间对痔术后创面影响的临床观察

Effect of Different Bathing Time Wound on the Impact after Hemorrhoid Surgery

目的:观察混合痔(湿热下注型)术后坐浴时间的不同对创面疼痛、出血、水肿、肛门坠胀的影响。方法:根据混合痔及湿热下注型的诊断标准,选取符合标准的60例混合痔(湿热下注型)术后患者,随机分成5～10min组、15-20min组,一个疗程(一周)后,根据评分标准进行2组术后创面疼痛、出血、水肿、肛门坠胀情况的比较。结果:2组术后疼痛P=0.043、水肿P=0.022、肛门坠胀P=0.045,均<0.05,有显著差异,2组术后出血P=0.589,P>0.05无统计学差异。结论:术后疼痛、水肿、肛门坠胀等并发症的发生与坐浴时间关系密切,以5-10min为宜,而术后出血的严重程度与坐浴时间无关。

Objective: To observe the effects of different sitting bath time of mixed hemorrhoids (damp-heat) on wound pain, bleeding, edema and anal swelling. Methods: according to the diagnostic criteria of mixed hemorrhoids (damp-heat), 60 cases of patients with mixed hemorrhoids (damp-heat) after operation were included and randomly divided into groups of 5-10min and 15-20min. After one week treatment, postoperative wound pain, bleeding, edema and anal swelling were compared between the two groups according to the scoring criteria. Results: postoperative pain (P=0.043), edema (P=0.02), and anal distension (P<0.05), showing significant difference. Postoperative hemorrhage P=0.589 in the two groups showed no significant difference (P>0.05). Conclusion: Postoperative pain, edema, anal distension and other complications are closely related to the time of sitting bath, which is suitable for 5-10min, while the severity of postoperative bleeding is not related to the time of sitting bath.