菊爽洗剂熏洗联合痔疮栓在混合痔术后创面愈合中的临床应用

Clinical application of Jushuang Lotion Fumigation and washing combined with Hemorrhoid Suppository in wound healing after mixed hemorrhoids operation

目的探讨菊爽洗剂熏洗联合痔疮栓在混合痔术后创面愈合中的临床效果。方法选取2015年1月~2019年6月安徽中医药大学第二附属医院收治的混合痔术后患者90例,按随机数字表法将其分为对照组(n=44,给予马应龙麝香痔疮栓治疗)和研究组(n=46,给予菊爽洗剂+马应龙栓痔疮栓治疗),疗程2周。比较两组创面愈合时间、疼痛程度、临床疗效、肛门功能及生活质量,比较治疗期间出现的不良反应及术后并发症发生情况。结果研究组临床总有效率明显高于对照组(P<0.05);治疗后两组肛管舒张压、肛管静息压及肛管最大收缩压高于治疗前,且研究组高于对照组(P<0.05);肛管高压带长度短于治疗前,且研究组短于对照组(P<0.05);治疗后两组视觉模拟评分(VAS)均低于治疗前,且研究组低于对照组(P<0.05);而治疗后两组生活质量评分高于治疗前,且研究组高于对照组(P<0.05);治疗后研究组创面愈合时间短于对照组(P<0.05);两组治疗期间均无与药物有关的不良反应发生,研究组术后并发症发生率低于对照组(P<0.05)。结论菊爽洗剂熏洗联合痔疮栓治疗混合痔术后患者可促进肛门功能恢复及其创面愈合,减轻疼痛,减少术后并发症,该方法可在临床治疗中进一步推广。

Objective To explore the clinical effect of Jushuang Lotion Fumigation and washing combined with Hemorrhoid Suppository in wound healing after mixed hemorrhoids operation.Methods From January 2015 to June 2019,a total of 90 patients with mixed hemorrhoids after operation admitted to the Second Affiliated Hospital of Anhui University of Chinese Medicine were selected.According to the random number table method,they were divided into the control group(n=44,treated with musk Hemorrhoid Suppository of Mayinglong)and the research group(n=46,treated with Jushuang Lotion+Mayinglong Suppository),with a course of 2 weeks.The wound healing time,pain degree,clinical efficacy,anal function and life quality of the two groups were compared,and the adverse reactions and postoperative complications occurred during treatment were compared.Results The total clinical effective rate of the study group was significantly higher than that of the control group(P<0.05).After treatment,the diastolic pressure,maximum systolic pressure and resting pressure of anal canal in the two groups were higher than those before treatment,and those in the study group were higher than those in the control group(P<0.05).The length of anorectal high-pressure band was shorter than before treatment,and the study group was shorter than the control group(P<0.05).After treatment,the visual analogue scale(VAS)of the two groups was lower than that before treatment,and that of the study group was lower than the control group(P<0.05).The quality of life of the two groups was higher than that before treatment,and that of the study group was higher than that of the control group(P<0.05).The wound healing time of the study group after treatment was shorter than that of the control group(P<0.05).There was no adverse drug reactions during treatment in the two groups.The incidence of complications in the study group was lower than that in the control group(P<0.05).Conclusion Jushuang Lotion Fumigation and washing combined with Hemorrhoid Suppository can promote anal function recovery and wound healing,relieve pain and reduce postoperative complications in patients with mixed hemorrhoids after operation.This method can be further promoted in clinical treatment.